Individual provider Active NPI

Makenzie Kline, AU.D

  • Audiologist
  • Clarksville, IN
National Provider Identifier
1710325600
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002568A Issued in IN
Practice address
914 Eastern Blvd
Suite 400
Clarksville, IN 47129-1962
Phone
(812) 283-4327
Fax
(812) 283-5466
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0570 KY
Audiologist 231H00000X 23002568A IN Primary

Addresses

Primary practice location

914 Eastern Blvd
Suite 400
Clarksville, IN 47129-1962

Mailing address

914 Eastern Blvd
Suite 400
Clarksville, IN 47129-1962
Phone (812) 283-4327

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edith & Henry Heuser Hearing Institute Audiologist CurrentSince May 14, 2013 Accepting new patients
Heuser Hearing & Language Academy PastSince May 14, 2013 Accepting new patients
Audiology Services Company USA, LLC Audiologist PastSince Jul 1, 2017 Accepting new patients
Audiology Services Company USA, LLC Past Accepting new patients

Locations

3900 S DuPont Sq
Ste D
Louisville, KY 40207
Phone (502) 371-9910

117 E Kentucky St
Louisville, KY 40203
Phone (502) 584-3573

111 E Kentucky St
Louisville, KY 40203
Phone (502) 371-9910

Organizations & group practices 4

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1710325600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 EASTERN BLVD",
            "address_2": "SUITE 400",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291962",
            "telephone_number": "812-283-4327",
            "fax_number": "812-283-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 EASTERN BLVD",
            "address_2": "SUITE 400",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291962",
            "telephone_number": "812-283-4327",
            "fax_number": "812-283-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "MAKENZIE",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0570",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002568A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.