Active NPI
Dawn A Hulthen-Koncsol, AUD
- Audiologist
- Charlotte, NC
National Provider Identifier
1831298496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 7348
- Practice address
- 8924 Blakeney Professional Dr
Charlotte, NC 28277-6660 - Phone
- (704) 703-1080
- NPI assigned
- Sep 21, 2006
- Last updated
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 1242 | NC | |
| Audiologist | 231H00000X | 7348 | NC | Primary |
Addresses
Primary practice location
8924 Blakeney Professional Dr
Charlotte, NC 28277-6660
Mailing address
8924 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone (704) 703-1080
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147FJ | Other | NC | BCBSNC |
| 30108535 | Other | SC | SELECT HEALTH OF SC |
| 7412976 | Medicaid | NC | |
| 7061923 | Other | AENTA | |
| SAN090 | Medicaid | SC | |
| 197917 | Other | NC | MEDCOST |
| 6374544 | Other | CIGNA | |
| 879959 | Other | SC | WELLCARE OF SC |
| P01720694 | Other | NC | RAILROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7348 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital Inc | Past | Accepting new patients | |
| Audchek, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Charlotte Audiology Services | Audiologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Charlotte, NC
- NPI 1477719599
-
dba Novant Health Cardiology
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1114200771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1831298496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8924 BLAKENEY PROFESSIONAL DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776660",
"telephone_number": "704-703-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8924 BLAKENEY PROFESSIONAL DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776660",
"telephone_number": "704-703-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULTHEN-KONCSOL",
"first_name": "DAWN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "1242",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "7348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "147FJ",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH OF SC",
"identifier": "30108535",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412976",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA",
"identifier": "7061923",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SAN090",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "197917",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6374544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF SC",
"identifier": "879959",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01720694",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.