Individual provider Active NPI

Kristi Hanson Rockefeller, AU.D.

  • Audiologist
  • Shreveport, LA
National Provider Identifier
1891951232
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2058 Issued in LA
Practice address
2121 Line Ave
Shreveport, LA 71104-2126
Phone
(318) 226-9441
Fax
(318) 425-3236
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2058 LA Primary

Addresses

Primary practice location

2121 Line Ave
Shreveport, LA 71104-2126

Mailing address

2121 Line Ave
Shreveport, LA 71104-2126
Phone (318) 226-9441

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

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1891951232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKEFELLER",
        "first_name": "KRISTI",
        "middle_name": "HANSON",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "2058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.