Active NPI
Karla Jean Kistner, M.S., CCC-A
- Audiologist-Hearing Aid Fitter
- Griffin, GA
National Provider Identifier
1720228745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AUD003570
- Practice address
- 681 S 9TH St
Griffin, GA 30224-4215 - Phone
- (770) 228-5745
- Fax
- (770) 228-5317
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AUD003570 | GA | Primary |
Addresses
Primary practice location
681 S 9TH St
Griffin, GA 30224-4215
Mailing address
336 S Singley Dr
Locust Grove, GA 30248-3516
Phone (678) 972-9051
Other practice location 1
1210 Luella Rd
Locust Grove, GA 30248-3516
Phone (770) 320-9162
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003570 | GA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1720228745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 S SINGLEY DR",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483516",
"telephone_number": "678-972-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 S 9TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244215",
"telephone_number": "770-228-5745",
"fax_number": "770-228-5317"
}
],
"practiceLocations": [
{
"address_1": "1210 Luella Rd",
"address_purpose": "LOCATION",
"city": "Locust Grove",
"state": "GA",
"postal_code": "302483516",
"country_code": "US",
"telephone_number": "770-320-9162",
"fax_number": "770-320-9162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISTNER",
"first_name": "KARLA",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "AUD003570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.