Active NPI
Shawna M Katkavich
- Audiologist
- Spartanburg, SC
National Provider Identifier
1932792124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4167
- Practice address
- 104 Franklin Ave Ste C
Spartanburg, SC 29301-2596 - Phone
- (864) 574-4064
- NPI assigned
- Feb 18, 2021
- 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 | 4167 | SC | Primary |
Addresses
Primary practice location
104 Franklin Ave Ste C
Spartanburg, SC 29301-2596
Mailing address
716 Augusta St Apt B
Greenville, SC 29605-3874
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 MLK Jr Blvd
Suite 4
Worcester, MA 01608-1209
Phone (508) 757-0330
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4167 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Otolaryngology Head and Neck Surgery PC | Current | Accepting new patients |
Locations
100 Mlk Jr Blvd
Worcester, MA 01608
Phone (508) 754-3823
48 Elm St
Worcester, MA 01609
Phone (508) 757-0330
100 Mlk Jr Blvd
Ste 4
Worcester, MA 01608
Phone (508) 757-0330
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.
-
- Otolaryngology Physician
- Worcester, MA
- NPI 1225152663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1932792124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 AUGUSTA ST APT B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296053874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FRANKLIN AVE STE C",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293012596",
"telephone_number": "864-574-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATKAVICH",
"first_name": "SHAWNA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.