Active NPI
Kathleen Marie Sinks, AU.D., ABAC, CCC-A
- Audiologist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2004015178
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339403008 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004015178 | MO | MD | Audiologist |
| 2003006518 | MO | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinia Healthcare | Current | Accepting new patients | |
| Affinia Healthcare | Current | Accepting new patients | |
| Affinia Healthcare | Current | Accepting new patients | |
| Metropolitan Plastic Surgery PC | Past | Accepting new patients | |
| ENT & Sleep Medicine Associates LLC | Past | Accepting new patients | |
| Easter Seals Midwest | Audiologist | Past | 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
- https://fhir4.healow.com/fhir/r4/JBIIBD
- 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.
-
- Audiologist
- Saint Louis, MO
- NPI 1407942527
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1902816077
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1093723959
-
dba Affinia Healthcare Ferguson
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1740067719
-
- Plastic and Reconstructive Surgery Physician
- Saint Peters, MO
- NPI 1184601569
-
- Otolaryngology Physician
- Columbia, IL
- NPI 1376853994
-
- Otolaryngology Physician
- Mount Vernon, IL
- NPI 1962000513
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.