Active NPI
Kenneth Lee Herdt
- Hearing Instrument Specialist
- Hutchinson, KS
National Provider Identifier
1801257415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1168
- Practice address
- 1619 N Lorraine St
Hutchinson, KS 67501-5656 - Phone
- (620) 665-7551
- Fax
- (620) 662-5281
- NPI assigned
- Mar 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1168 | KS | Primary |
Addresses
Primary practice location
1619 N Lorraine St
Hutchinson, KS 67501-5656
Mailing address
1619 N Lorraine St
Hutchinson, KS 67501-5656
Phone (620) 665-7551
Other practice location 1
2006 Washington St
Great Bend, KS 67530-2451
Phone (620) 665-7551
Other practice location 2
204 E Grant Ave Ste B
Ulysses, KS 67880-2513
Phone (620) 665-7551
Other names 1
- Kenny Lee Herdt
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1168 | KS | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Healthcare Associates of Hutchinson LLC | Hearing Instrument Specialist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Past | Accepting new patients | |
| Rem Audiology Associates, P.C. | Past | Accepting new patients |
Locations
1619 N Lorraine St
Hutchinson, KS 67501
Phone (620) 663-5297
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Hutchinson, KS
- NPI 1528837473
Hearing Instrument Specialist
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
-
- Audiologist-Hearing Aid Fitter
- Philadelphia, PA
- NPI 1124072665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1801257415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 N LORRAINE ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015656",
"telephone_number": "620-665-7551",
"fax_number": "620-662-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 N LORRAINE ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015656",
"telephone_number": "620-665-7551",
"fax_number": "620-662-5281"
}
],
"practiceLocations": [
{
"address_1": "2006 Washington St",
"address_purpose": "LOCATION",
"city": "Great Bend",
"state": "KS",
"postal_code": "675302451",
"country_code": "US",
"telephone_number": "620-665-7551",
"fax_number": "620-662-5281",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 E Grant Ave Ste B",
"address_purpose": "LOCATION",
"city": "Ulysses",
"state": "KS",
"postal_code": "678802513",
"country_code": "US",
"telephone_number": "620-665-7551",
"fax_number": "620-662-5281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERDT",
"first_name": "KENNETH",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-09",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KS",
"license": "1168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENNY",
"last_name": "HERDT",
"middle_name": "LEE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.