Matthew Joseph Kist, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

247998 Issued in KY

Practice address

463 Erlanger Rd
Erlanger, KY 41018-1427

Phone

(859) 342-5846

Fax

(859) 342-4979

NPI assigned

Aug 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Kentucky Audiology

  • Audiologist
  • Erlanger, KY
  • NPI 1083295323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1861049629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 ERLANGER RD",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181427",
            "telephone_number": "859-342-5846",
            "fax_number": "859-342-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 ERLANGER RD",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181427",
            "telephone_number": "859-342-5846",
            "fax_number": "859-342-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIST",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02221",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "247998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 05759)
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06116)
• Kentucky Prime Care Inc
• Sumera Tariq Khan, MD
• Kids Count, Inc
• Sarah C Koeninger, RDN, LD
• Renu Kotwal, MD
• Kendall Elizabeth Kravos, MA
• Alyssa Kreider, APRN
• Justin J Kruer, M.D.

• Audiologist in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Audiologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.