Kathryn Mary Prevost, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000171 Issued in MI

Practice address

393 Roosevelt Ave E
Battle Creek, MI 49017-3333

Phone

(586) 243-3246

Fax

(269) 441-4150

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669486791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FULTON ST W",
            "address_2": "APT. 1216",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036201",
            "telephone_number": "616-855-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 ROOSEVELT AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173333",
            "telephone_number": "586-243-3246",
            "fax_number": "269-441-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOST",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard G Prebish, DC
• Premier Integrative Medical Group, PLLC
• Premise Health of Michigan Medical PC
• Premise Health of Michigan Medical, P.C
• Prevos Family Markets LLC
• Sarah Margaret Prevost, OTR/L
• Jamie Prewozniak
• Andre Lane Pride, PAC
• Lila Mae Pride, L.M.S.W.
• Primary Care Psychology PLLC

• Audiologist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.