Individual provider Active NPI

Katherine Suzanne Higinbotham

  • Audiologist
  • Carmel, IN
National Provider Identifier
1740473107
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002379A Issued in IN
Practice address
12315 Hancock St Ste 27
Carmel, IN 46032-5885
Phone
(317) 688-1113
Fax
(317) 975-0650
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002379A IN Primary

Addresses

Primary practice location

12315 Hancock St Ste 27
Carmel, IN 46032-5885

Mailing address

12315 Hancock St Ste 27
Carmel, IN 46032-5885
Phone (317) 688-1113

Other practice location 1

1400 N Ritter Ave Ste 230
Indianapolis, IN 46219-3046
Phone (317) 355-2960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000089 IN Practitioner - Qualified Audiologist 5496920365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1400 N Ritter Ave
Suite 230
Indianapolis, IN 46219-3046
Phone (317) 355-2960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Centers of Indiana, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 29, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 29, 2023 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

12315 Hancock St
Ste 27
Carmel, IN 46032
Phone (317) 688-1113

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

1400 N Ritter Ave
Ste 230
Indianapolis, IN 46219
Phone (317) 355-2960

18000 River Rd
Noblesville, IN 46062
Phone (317) 621-6673

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1740473107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 27",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-688-1113",
            "fax_number": "317-975-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 27",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-688-1113",
            "fax_number": "317-975-0650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Ritter Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193046",
            "country_code": "US",
            "telephone_number": "317-355-2960",
            "fax_number": "317-355-2969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGINBOTHAM",
        "first_name": "KATHERINE",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.