Individual provider Active NPI

Kathy Jean Gorman, AUD, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Fort Worth, TX
National Provider Identifier
1881674158
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
51598 Issued in TX
Practice address
7355 N Beach St
Suite 165
Fort Worth, TX 76137-1897
Phone
(817) 847-1515
Fax
(817) 847-1542
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 51598 TX Primary

Addresses

Primary practice location

7355 N Beach St
Suite 165
Fort Worth, TX 76137-1897

Mailing address

7355 N Beach St
Suite 165
Fort Worth, TX 76137-1897
Phone (817) 847-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
K J Gorman, LLC Audiologist-Hearing Aid Fitter PastSince Oct 1, 2005 Accepting new patients

Organizations & group practices 1

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1881674158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST",
            "address_2": "SUITE 165",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371897",
            "telephone_number": "817-847-1515",
            "fax_number": "817-847-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST",
            "address_2": "SUITE 165",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371897",
            "telephone_number": "817-847-1515",
            "fax_number": "817-847-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "KATHY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.