Individual provider Active NPI

Kristyn Wethington, AU.D. CCC-A

  • Audiologist
  • White Hall, AR
National Provider Identifier
1801408364
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
201138 Issued in AR
Practice address
7500 Dollarway Rd Ste 103
White Hall, AR 71602-3082
Phone
(870) 247-8800
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 201138 AR Primary

Addresses

Primary practice location

7500 Dollarway Rd Ste 103
White Hall, AR 71602-3082

Mailing address

7500 Dollarway Rd Ste 103
White Hall, AR 71602-3082
Phone (870) 247-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929003239 AR Practitioner - Qualified Audiologist 9830518505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7500 Dollarway Rd
Suite 103
White Hall, AR 71602-3082
Phone (870) 247-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201138ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wethington Management CurrentSince Mar 17, 2024 Accepting new patients
Statco-Palmer, Inc. Audiologist PastSince Aug 1, 2020 Accepting new patients

Locations

7500 Dollarway Rd
Ste 103
White Hall, AR 71602
Phone (870) 247-8800

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1801408364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 103",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023082",
            "telephone_number": "870-247-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 103",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023082",
            "telephone_number": "870-247-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHINGTON",
        "first_name": "KRISTYN",
        "name_prefix": "Dr.",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "201138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.