Individual provider Active NPI

Karen Elizabeth Slater, AU.D.

  • Audiologist
  • Gulfport, MS
National Provider Identifier
1871697029
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0786 Issued in MS
Practice address
3017 13TH Street
Gulfport, MS 39501-1833
Phone
(228) 863-6592
Fax
(228) 863-6617
NPI assigned
Sep 9, 2006
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A0786 MS Primary

Addresses

Primary practice location

3017 13TH Street
Gulfport, MS 39501-1833

Mailing address

3017 13TH Street
Gulfport, MS 39501-1833
Phone (228) 863-6592

Other identifiers 1

IdentifierTypeStateIssuer
00004815MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130909000294 MS Practitioner - Qualified Audiologist 1557536307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Hearing Center LLCGroup PAC ID 3779711882, 7 clinicians

Practice addresses (Care Compare)

1720 A Medical Park Dr
Suite 140
Biloxi, MS 39532-2122
Phone (228) 207-7102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Hearing Center, LLC CurrentSince Nov 1, 2013 Accepting new patients
Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC Past Accepting new patients

Locations

1720A Medical Park Dr
Ste 140
Biloxi, MS 39532
Phone (228) 207-7102

970 Tommy Munro Dr
Ste A
Biloxi, MS 39532
Phone (228) 207-7102

401 Security Sq
Gulfport, MS 39507
Phone (228) 896-3277

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": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1871697029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 13TH STREET",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-863-6592",
            "fax_number": "228-863-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 13TH STREET",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-863-6592",
            "fax_number": "228-863-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-09",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A0786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00004815",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.