Individual provider Active NPI

Kathleen Marie Sinks, AU.D., ABAC, CCC-A

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1679639991
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2004015178 Issued in MO
Practice address
9835 Manchester Rd
Saint Louis, MO 63119-1243
Phone
(314) 968-4710
Fax
(314) 968-4762
NPI assigned
Dec 29, 2006
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2004015178 MO Primary
Audiologist-Hearing Aid Fitter 237600000X 2003006518 MO

Addresses

Primary practice location

9835 Manchester Rd
Saint Louis, MO 63119-1243

Mailing address

9835 Manchester Rd Ste 209
Saint Louis, MO 63119-1243
Phone (314) 968-4710

Other identifiers 1

IdentifierTypeStateIssuer
339403008MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000460 MO Practitioner - Qualified Audiologist 2062442189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Hearing and SpeechGroup PAC ID 3577460351, 5 clinicians

Practice addresses (Care Compare)

9835 Manchester Rd
Saint Louis, MO 63119-1243
Phone (314) 968-4710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004015178MOMDAudiologist
2003006518MOMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Affinia Healthcare CurrentSince Dec 2, 2013 Accepting new patients
Affinia Healthcare CurrentSince Dec 2, 2013 Accepting new patients
Affinia Healthcare Current Accepting new patients
Metropolitan Plastic Surgery PC Past Accepting new patients
ENT & Sleep Medicine Associates LLC PastSince Nov 1, 2010 Accepting new patients
Easter Seals Midwest Audiologist PastSince Dec 10, 2009 Accepting new patients
Midwest Sinus Sleep & Allergy Associates, LLC Past Accepting new patients

Locations

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

3309 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 534-9350

4414 N Florissant Ave
Saint Louis, MO 63107
Phone (314) 814-8515

6763 Page Ave
Saint Louis, MO 63133
Phone (314) 206-3910

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBIIBD
  • Direct secure messaging: kathleen.sinks.p1@direct.affiniahealthcare.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1679639991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 MANCHESTER RD STE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191243",
            "telephone_number": "314-968-4710",
            "fax_number": "143-968-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191243",
            "telephone_number": "314-968-4710",
            "fax_number": "314-968-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINKS",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D., ABAC, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2004015178",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2003006518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339403008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.