Kimberly R Gates, AUD.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA1505 Issued in AZ

Practice address

6550 E Broadway Rd
Suite 206
Mesa, AZ 85206-1732

Phone

(480) 981-3384

Fax

(480) 924-8944

NPI assigned

Jan 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-City Audiology LLCGroup PAC ID 9537148283, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tri-City Audiology, LLC

  • Audiologist
  • Mesa, AZ
  • NPI 1124196761
  Medicare reassignment Care Compare group NPD
• Maricopa Ear Nose & Throat P C

  • Otolaryngology Physician
  • Tempe, AZ
  • NPI 1487793295
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1881965812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 E BROADWAY RD",
            "address_2": "SUITE 206",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061732",
            "telephone_number": "480-981-3384",
            "fax_number": "480-924-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 E BROADWAY RD",
            "address_2": "SUITE 206",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061732",
            "telephone_number": "480-981-3384",
            "fax_number": "480-924-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Gaspe Ozdoba
• Joseph A. Gassen, M.D.
• Maureen Gaston, F.N.P.
• Raul A Gatchalian, MD
• Jonathan Ryan Gates, MC, LPC
• Lamesha M Gates
• Gateway Addictionology Services, PLLC (Gateway Recovery Institute)
• Gateway Anesthesia and Pain Associates PLLC
• Gateway Physical Therapy LLC
• Gateway Smiles, LLP (Gateway Smiles)

• Audiologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.