Active NPI
Karin Whitney Pedersen, AU.D.
- Audiologist
- San Antonio, TX
National Provider Identifier
1851773667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80978
- Practice address
- 9618 Huebner Rd Ste 310
San Antonio, TX 78240-1777 - Phone
- (210) 358-4583
- Fax
- (210) 358-2654
- NPI assigned
- Jun 29, 2015
- 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 | DA9516 | AZ | |
| Audiologist | 231H00000X | 80978 | TX | Primary |
Addresses
Primary practice location
9618 Huebner Rd Ste 310
San Antonio, TX 78240-1777
Mailing address
P.O. Box 87
San Antonio, TX 78291
Phone (210) 358-9172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 83.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80978 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Arizona Hearcare Network, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Pain Management Specialists | Past | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| Multicare Health System | Audiologist | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
Organizations & group practices 7
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.
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- Pediatrics Physician
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- NPI 1407409741
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1922617125
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Audiologist-Hearing Aid Fitter
- Glendale, AZ
- NPI 1518947829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1851773667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 87",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78291",
"telephone_number": "210-358-9172",
"fax_number": "210-358-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 HUEBNER RD STE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401777",
"telephone_number": "210-358-4583",
"fax_number": "210-358-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "KARIN",
"middle_name": "WHITNEY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA9516",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.