Active NPI
Kristin Danielle Walding, BC-HIS
- Hearing Instrument Specialist
- Dothan, AL
National Provider Identifier
1699333963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 4173
- Practice address
- 112 Haven Dr Ste 1
Dothan, AL 36301-2908 - Phone
- (334) 793-6673
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 4173 | AL | Primary |
Addresses
Primary practice location
112 Haven Dr Ste 1
Dothan, AL 36301-2908
Mailing address
3703 Brookside Dr
Dothan, AL 36303-1448
Phone (334) 803-4404
Other names 1
- Kristin D Walding
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4173 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Hearing LLC | Hearing Instrument Specialist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1699333963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 BROOKSIDE DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031448",
"telephone_number": "334-803-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HAVEN DR STE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012908",
"telephone_number": "334-793-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDING",
"first_name": "KRISTIN",
"middle_name": "DANIELLE",
"credential": "BC-HIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": "4173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "WALDING",
"middle_name": "D",
"credential": "BC-HIS",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.