Kelsi Jo Wittum, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

Corner of Lamont and Veterans Way
Building 204 Department of Audiology
Mountain Home, TN 37684

Phone

(423) 926-1171

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1780100867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5662 MAPLE DELL CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267699",
            "telephone_number": "614-208-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF LAMONT AND VETERANS WAY",
            "address_2": "BUILDING 204 DEPARTMENT OF AUDIOLOGY",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTUM",
        "first_name": "KELSI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Darrell Willocks Jr., PT
• Emily Danielle Wilson
• James Michael Wilson, PHARMD.
• Sherry Ann Wiltshire, R.T.T., C.M.D
• Jonathan W Wireman, MD
• R. Harber Wood, MD
• Robert Carl Wood III, PHARMD
• Lawrence Burton Woodward, PHARM D
• Rebecca Tucker Worsham, PHARMD
• Michelle Wrobleski, PHARMD

• Audiologist in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.