Individual provider Active NPI

Kristen Marie Huizdos, AU.D.,CCC-A

  • Audiologist
  • Waterford, MI
National Provider Identifier
1750424271
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000411 Issued in MI
Practice address
6650 Highland Rd
Suite 110
Waterford, MI 48327-1660
Phone
(248) 886-0110
Fax
(248) 886-0194
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000411 MI Primary
Audiologist-Hearing Aid Fitter 237600000X 1601000411 MI

Addresses

Primary practice location

6650 Highland Rd
Suite 110
Waterford, MI 48327-1660

Mailing address

6650 Highland Rd
Suite 110
Waterford, MI 48327-1660
Phone (248) 886-0110

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Care Industries PC Audiologist PastSince Mar 17, 2013 Accepting new patients

Organizations & group practices 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1750424271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 HIGHLAND RD",
            "address_2": "SUITE 110",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271660",
            "telephone_number": "248-886-0110",
            "fax_number": "248-886-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 HIGHLAND RD",
            "address_2": "SUITE 110",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271660",
            "telephone_number": "248-886-0110",
            "fax_number": "248-886-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZDOS",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "AU.D.,CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000411",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.