Illuminear Tinnitus & Audiology Center

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51189 Issued in TX

Legal business name

ILLUMINEAR TINNITUS & AUDIOLOGY CENTER

Practice address

711 W 38TH St
Suite B14
Austin, TX 78705-1121

Phone

(512) 407-9215

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Kristen Keener, AU.D.NPI 1164786158

Title

Owner

Phone

(512) 407-9215

Specialties & licenses 1

Addresses

Other names 1

• IlluminEar Audiology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen D Keener, AU.D.

  • Audiologist
  • Austin, TX
  • NPI 1164786158
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Randal, AUD

  • Audiologist
  • Austin, TX
  • NPI 1073358107
  Medicare reassignment Care Compare group NPD
• Candace Utranusorn, AU.D., CCC-A

  • Audiologist
  • Austin, TX
  • NPI 1255958351
  Medicare reassignment Care Compare group NPD
• Danielle Rene Jenkins, AUD

  • Audiologist
  • Englewood, CO
  • NPI 1740954593

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1689076572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "SUITE B14",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-407-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "SUITE B14",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-407-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINEAR TINNITUS & AUDIOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-407-9215",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IlluminEar Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilivewell Nutrition Therapy LLC
• Ilivewell Nutrition Therapy, LLC
• Sara Illig
• Gabriel Illovsky, CRNA
• Illuminate Functional Health LLC
• Katherine E Iltis, PHARMD.
• Iluminacion Counseling & Wellness
• Jingu Im, DPT
• Imagdent Austin Group LLC
• Imagdent Austin LP

• Audiologist in Austin, TX
• Providers in Austin, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.