Individual provider Active NPI

Kara A Headington, AUD

  • Audiologist
  • Mesa, AZ
National Provider Identifier
1720275498
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD5626 Issued in AZ
Practice address
6124 E Brown Rd
Ste. 102
Mesa, AZ 85205-4959
Phone
(480) 497-3285
Fax
(480) 833-2513
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD5626 AZ Primary

Addresses

Primary practice location

6124 E Brown Rd
Ste. 102
Mesa, AZ 85205-4959

Mailing address

6124 E Brown Rd
Ste. 102
Mesa, AZ 85205-4959
Phone (480) 497-3285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000079 LA Practitioner - Qualified Audiologist 4789768094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

1615 Wolf Circle
Lake Charles, LA 70605-2348
Phone (337) 312-8564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6427LAMDClinical Social Worker
AUD5626AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health, LLP CurrentSince Mar 1, 2017 Accepting new patients
The Hearing & Tinnitus Center, LLC Audiologist CurrentSince Jul 22, 2025 Accepting new patients
Imperial Health LLP CurrentSince Mar 1, 2017 Accepting new patients
Louisiana Department of Health - Office of Public Health Past Accepting new patients

Locations

1615 Wolf Cir
Lake Charles, LA 70605
Phone (337) 312-4355

1919A Southwood Dr
Lake Charles, LA 70605
Phone (337) 474-3880

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1720275498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 E BROWN RD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054959",
            "telephone_number": "480-497-3285",
            "fax_number": "480-833-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 E BROWN RD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054959",
            "telephone_number": "480-497-3285",
            "fax_number": "480-833-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADINGTON",
        "first_name": "KARA",
        "middle_name": "A",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "AUD5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.