Individual provider Active NPI

Kathryn Jade White Garrard, AUD-CCCA

  • Audiologist
  • Gulfport, MS
National Provider Identifier
1679908016
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A3795 Issued in MS
Practice address
3017 13TH St
Gulfport, MS 39501-1833
Phone
(228) 863-6592
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 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 A3795 MS Primary

Addresses

Primary practice location

3017 13TH St
Gulfport, MS 39501-1833

Mailing address

12025 Saracennia Rd
Moss Point, MS 39562-7759
Phone (251) 367-6128

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1679908016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 SARACENNIA RD",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395627759",
            "telephone_number": "251-367-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-863-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE GARRARD",
        "first_name": "KATHRYN",
        "middle_name": "JADE",
        "credential": "AUD-CCCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.