Individual provider Active NPI

Nicole Klutz, AU.D.

  • Audiologist
  • Augusta, ME
National Provider Identifier
1669812830
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
89 Hospital St
Suite 3
Augusta, ME 04330-6651
Phone
(207) 622-5922
Fax
(207) 622-6052
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

89 Hospital St
Suite 3
Augusta, ME 04330-6651

Mailing address

89 Hospital St
Suite 3
Augusta, ME 04330-6651
Phone (207) 622-5922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1669812830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL ST",
            "address_2": "SUITE 3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306651",
            "telephone_number": "207-622-5922",
            "fax_number": "207-622-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL ST",
            "address_2": "SUITE 3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306651",
            "telephone_number": "207-622-5922",
            "fax_number": "207-622-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTZ",
        "first_name": "NICOLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.