Active NPI
Katie Kirleis, AU.D.
- Audiologist
- Danvers, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1031
- Practice address
- 104 Endicott St
Suite 100
Danvers, MA 01923-3623 - Phone
- (978) 745-6601
- NPI assigned
- Sep 14, 2012
- Last updated
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1031 | MA | Primary |
Addresses
Primary practice location
104 Endicott St
Suite 100
Danvers, MA 01923-3623
Mailing address
104 Endicott St
Suite 100
Danvers, MA 01923-3623
Phone (978) 745-6601
Other names 1
- Katie Connell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Endicott St
Suite 100
Danvers, MA 01923-0009
Phone (978) 745-6601
104 Endicott St
Suite 100
Danvers, MA 01923-3623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01264 | MD | MD | Speech-Language Pathologist |
| 1031 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Ear, Nose & Throat Associates, PC | Current | Accepting new patients | |
| Hearing Professionals, Inc | Audiologist | Past | Accepting new patients |
Locations
104 Endicott St
Ste 100
Danvers, MA 01923
Phone (978) 745-6601
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.
-
- Otolaryngology Physician
- Salem, MA
- NPI 1619940780
-
- Audiologist
- Bowie, MD
- NPI 1609097625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1902156078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ENDICOTT ST",
"address_2": "SUITE 100",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233623",
"telephone_number": "978-745-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ENDICOTT ST",
"address_2": "SUITE 100",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233623",
"telephone_number": "978-745-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRLEIS",
"first_name": "KATIE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "1031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "CONNELL",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.