Katharine Rhodes Sorenson, KATHARINE SORENSON

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A2794 Issued in MS

Practice address

7075 Golden Oaks Loop W Ste 11
Southaven, MS 38671-9012

Phone

(662) 349-9920

Fax

(662) 349-3988

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Katharine Sorenson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831211234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W STE 11",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719012",
            "telephone_number": "662-349-9920",
            "fax_number": "662-349-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W STE 11",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719012",
            "telephone_number": "662-349-9920",
            "fax_number": "662-349-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "KATHARINE",
        "middle_name": "RHODES",
        "name_prefix": "Mrs.",
        "credential": "KATHARINE SORENSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A2794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04405367",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "SORENSON",
            "credential": "KATHARINE SORENSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Audiologist in Southaven, MS
• Providers in Southaven, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.