Individual provider Active NPI

Aimee Johnson Kaltenbach, AUD

  • Audiologist
  • Hiram, GA
National Provider Identifier
1871085761
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004129 Issued in GA
Practice address
148 Bill Carruth Pkwy Ste 220
Hiram, GA 30141-3756
Phone
(770) 505-0023
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004129 GA Primary

Addresses

Primary practice location

148 Bill Carruth Pkwy Ste 220
Hiram, GA 30141-3756

Mailing address

4127 Maple LN
Powder Springs, GA 30127-1989
Phone (478) 278-8993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018003158 MT Practitioner - Qualified Audiologist 3971853946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure State HearingGroup PAC ID 1153507470, 3 clinicians

Practice addresses (Care Compare)

1122 Stoneridge Dr
Suite 1
Bozeman, MT 59718-8124
Phone (406) 551-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure State Hearing Audiologist CurrentSince Aug 12, 2022 Accepting new patients
Bear Hearing Solutions PLLC PastSince Feb 18, 2024 Accepting new patients

Locations

1122 Stoneridge Dr
Ste 1
Bozeman, MT 59718
Phone (406) 551-2244

1165 N 14th Ave
Ste 1
Bozeman, MT 59715
Phone (406) 219-5627

615 W Park St
Livingston, MT 59047
Phone (406) 333-2547

Organizations & group practices 2

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1871085761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 MAPLE LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271989",
            "telephone_number": "478-278-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 BILL CARRUTH PKWY STE 220",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413756",
            "telephone_number": "770-505-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENBACH",
        "first_name": "AIMEE",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.

Verify at the official NPI Registry.