Active NPI
Kathy C. Chase, CCC-A
- Audiologist
- Hastings, MI
National Provider Identifier
1740224161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50624
- Practice address
- 1761 W M43 Hwy
Hastings, MI 49058 - Phone
- (269) 945-2030
- Fax
- (269) 945-2115
- NPI assigned
- Jun 15, 2006
- 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 | 231H00000X | 50624 | TX | Primary |
Addresses
Primary practice location
1761 W M43 Hwy
Hastings, MI 49058
Mailing address
1761 W M43 Hwy
Hastings, MI 49058
Phone (269) 945-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 865186836 | Medicaid | MI |
Other names 1
- Kathy K. McDaniel
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50624 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1740224161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 W M43 HWY",
"city": "HASTINGS",
"state": "MI",
"postal_code": "49058",
"telephone_number": "269-945-2030",
"fax_number": "269-945-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 W M43 HWY",
"city": "HASTINGS",
"state": "MI",
"postal_code": "49058",
"telephone_number": "269-945-2030",
"fax_number": "269-945-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "KATHY",
"middle_name": "C.",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "865186836",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "MCDANIEL",
"middle_name": "K.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.