Kim Fishman Audiology

Primary specialty

AudiologistTaxonomy code 231H00000X

License

6400 Issued in MN

Legal business name

KIM FISHMAN AUDIOLOGY

Practice address

11 10TH Ave S Ste a
Hopkins, MN 55343-7505

Phone

(952) 767-0672

Fax

(952) 500-9955

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Kim FishmanNPI 1124212360

Title

Owner/Audiologist

Phone

(952) 767-0672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Kim E Fishman

  • Audiologist
  • Hopkins, MN
  • NPI 1124212360
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1689935686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 10TH AVE S STE A",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437505",
            "telephone_number": "952-767-0672",
            "fax_number": "952-500-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 10TH AVE S STE A",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437505",
            "telephone_number": "952-767-0672",
            "fax_number": "952-500-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM FISHMAN AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "952-767-0672"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MN",
            "license": "6400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Kay Kastens
• Kelly Simon Counseling and Wellness LLC
• Christina Kelly, DC, CPM, LM
• Alex Baker Kewitt, BCST
• Melanie Kielsa
• Andrea Kinney, LGSW
• Renee M Kirkeby, PHARMD
• Christine A Kletti, MD
• Diane Klimowicz, RN
• Skylar B Kotz

• Audiologist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.