Individual provider Active NPI

Karla Jean Kistner, M.S., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Griffin, GA
National Provider Identifier
1720228745
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AUD003570 Issued in GA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AUD003570GAMDAudiologist-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.

Verify at the official NPI Registry.