Individual provider Active NPI

Kathleen Marie Rocuant, AUD

  • Audiologist
  • Cape Coral, FL
National Provider Identifier
1871589549
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY684 Issued in FL
Practice address
625 Del Prade Blvd #3
Audilogy Consultants of SWFL
Cape Coral, FL 33990
Phone
(239) 772-0940
Fax
(239) 574-2621
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY684 FL Primary

Addresses

Primary practice location

625 Del Prade Blvd #3
Audilogy Consultants of SWFL
Cape Coral, FL 33990

Mailing address

625 Del Prade Blvd #3
Audilogy Consultants of SWFL
Cape Coral, FL 33990
Phone (239) 772-0940

Other identifiers 1

IdentifierTypeStateIssuer
7367714001OtherCIGNA

Other names 1

  • Kathleen Marie Kearney Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000048 FL Practitioner - Qualified Audiologist 4082504394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Arizona College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark H Montgomery MD PAGroup PAC ID 7618975111, 2 clinicians

Practice addresses (Care Compare)

9240 Bonita Beach Rd SE
Suite 1106
Bonita Springs, FL 34135-4250
Phone (239) 495-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY684FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark H Montgomery MD PA CurrentSince Jan 1, 2011 Accepting new patients
Ear-Tronics, Inc. Audiologist Past Accepting new patients
Cape Coral Ear Nose & Throat Center PL PastSince Oct 1, 2003 Accepting new patients
Ear-Tronics, Inc Audiologist Past Accepting new patients

Locations

9240 Bonita Beach Rd SE
Ste 1106
Bonita Springs, FL 34135
Phone (239) 301-3227

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1871589549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DEL PRADE BLVD #3",
            "address_2": "AUDILOGY CONSULTANTS OF SWFL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-772-0940",
            "fax_number": "239-574-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DEL PRADE BLVD #3",
            "address_2": "AUDILOGY CONSULTANTS OF SWFL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-772-0940",
            "fax_number": "239-574-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCUANT",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7367714001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KEARNEY",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.