Active NPI
Katlyn Plotzer, AU.D
- Audiologist
- Creve Coeur, MO
National Provider Identifier
1912513458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2020016957
- Practice address
- 12380 Olive Blvd
Creve Coeur, MO 63141-6443 - Phone
- (314) 384-8088
- Fax
- (636) 238-4388
- NPI assigned
- Sep 21, 2020
- 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 | 2020016957 | MO | Primary |
Addresses
Primary practice location
12380 Olive Blvd
Creve Coeur, MO 63141-6443
Mailing address
12380 Olive Blvd
Creve Coeur, MO 63141-6443
Phone (314) 384-8088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14222 Ladue Rd
Chesterfield, MO 63017-3324
Phone (314) 384-8088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020016957 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Dizziness and Balance Institute LLC | Audiologist | Current | Accepting new patients |
| Sound Health Services P.C. | Past | Accepting new patients |
Locations
14222 Ladue Rd
Chesterfield, MO 63017
Phone (314) 384-8088
12380 Olive Blvd
Saint Louis, MO 63141
Phone (314) 384-5454
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 and National Provider Directory roles.
-
- Audiologist
- Chesterfield, MO
- NPI 1548823735
-
- Otolaryngology Physician
- Saint Louis, MO
- NPI 1811988611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1912513458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12380 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416443",
"telephone_number": "314-384-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12380 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416443",
"telephone_number": "314-384-8088",
"fax_number": "636-238-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTZER",
"first_name": "KATLYN",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2020016957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.