Individual provider Active NPI

Kevin Thomas Barlow, AUD

  • Audiologist
  • Winter Haven, FL
National Provider Identifier
1770654451
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY235 Issued in FL
Practice address
510 1St St S
Winter Haven, FL 33880-3601
Phone
(863) 293-6507
Fax
(863) 291-0737
NPI assigned
Nov 13, 2006
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY235 FL Primary

Addresses

Primary practice location

510 1St St S
Winter Haven, FL 33880-3601

Mailing address

510 1St St S
Winter Haven, FL 33880-3601
Phone (863) 293-6507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050604000014 FL Practitioner - Qualified Audiologist 3274576913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY235FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin T. Barlow, PA Audiologist CurrentSince Oct 1, 2002 Accepting new patients
Kevin T Barlow, PA. Dba: Winter Haven Audiology and Ridge Audiology. CurrentSince Sep 16, 2004 Accepting new patients

Locations

704 State Road 60 E
Lake Wales, FL 33853
Phone (863) 676-8900

510 1st St S
Winter Haven, FL 33880
Phone (863) 293-6507

510 1st St S
Ste A
Winter Haven, FL 33880
Phone (863) 293-6507

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1770654451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803601",
            "telephone_number": "863-293-6507",
            "fax_number": "863-291-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803601",
            "telephone_number": "863-293-6507",
            "fax_number": "863-291-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.