Individual provider Active NPI

Mary Katherine Donegan, AUD

  • Audiologist
  • Sacramento, CA
National Provider Identifier
1750133658
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
601 University Ave Ste 105
Sacramento, CA 95825-6706
Phone
(916) 974-9833
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

601 University Ave Ste 105
Sacramento, CA 95825-6706

Mailing address

601 University Ave Ste 105
Sacramento, CA 95825-6706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311002763 CA Practitioner - Qualified Audiologist 0547781171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly Bonney Aud IncGroup PAC ID 3870622061, 7 clinicians

Practice addresses (Care Compare)

6000 Fairway Dr
Suite 15
Rocklin, CA 95677-4246
Phone (916) 315-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Specialty Clinics of Ca, Inc CurrentSince Mar 4, 2025 Accepting new patients
Kimberly Bonney Aud, Inc CurrentSince Mar 4, 2025 Accepting new patients

Locations

101 Margaret Ln
Ste C
Grass Valley, CA 95945
Phone (530) 272-2244

1101 W Tokay St
Ste 4
Lodi, CA 95240
Phone (209) 368-9222

6000 Fairway Dr
Ste 15
Rocklin, CA 95677
Phone (916) 315-8114

601 University Ave
Ste 105
Sacramento, CA 95825
Phone (916) 927-9640

Organizations & group practices 2

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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1750133658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE STE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE STE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256706",
            "telephone_number": "916-974-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONEGAN",
        "first_name": "MARY KATHERINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.