Active NPI
Kate Matise
- Hearing Instrument Specialist
- Atlanta, GA
National Provider Identifier
1730465733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS000838
- Practice address
- 2114 Henderson Mill Rd NE
Atlanta, GA 30345-3762 - Phone
- (770) 934-4327
- Fax
- (770) 814-9772
- NPI assigned
- Oct 24, 2011
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HADS000838 | GA | Primary |
Addresses
Primary practice location
2114 Henderson Mill Rd NE
Atlanta, GA 30345-3762
Mailing address
2114 Henderson Mill Rd NE
Atlanta, GA 30345-3762
Phone (770) 934-4327
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HADS000838 | GA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1730465733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 HENDERSON MILL RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453762",
"telephone_number": "770-934-4327",
"fax_number": "770-814-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 HENDERSON MILL RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453762",
"telephone_number": "770-934-4327",
"fax_number": "770-814-9772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATISE",
"first_name": "KATE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS000838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.