Individual provider Active NPI

Kathryn Henderson, HIS

  • Hearing Instrument Specialist
  • Elizabeth City, NC
National Provider Identifier
1811411416
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1369 Issued in NC
Practice address
330 Camden Cswy Ste C
Elizabeth City, NC 27909-6811
Phone
(252) 331-2437
Fax
(252) 331-0308
NPI assigned
Jul 26, 2017
Last updated
Jul 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1369 NC Primary

Addresses

Primary practice location

330 Camden Cswy Ste C
Elizabeth City, NC 27909-6811

Mailing address

PO Box 2443
Elizabeth City, NC 27906-2443
Phone (252) 331-2437

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

LicenseStateTypeSpecialty
1369NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Audiology, PLLC PastSince Jan 10, 2009 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, 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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1811411416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2443",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279062443",
            "telephone_number": "252-331-2437",
            "fax_number": "252-331-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CAMDEN CSWY STE C",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096811",
            "telephone_number": "252-331-2437",
            "fax_number": "252-331-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KATHRYN",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.