Active NPI
Kristin Darlene Iden, AU.D.
- Audiologist
- Huntington, WV
National Provider Identifier
1942229240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0365
- Practice address
- 1540 Spring Valley Drive
Audiology (126)
Huntington, WV 25704 - Phone
- (304) 429-6741
- Fax
- (304) 429-0263
- NPI assigned
- Jul 18, 2006
- Last updated
- Sep 30, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0365 | KY | Primary |
| Audiologist | 231H00000X | KY-0365 | KY | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | KY-0365 | KY | |
| Audiologist-Hearing Aid Fitter | 237600000X | KY-0365 | KY |
Addresses
Primary practice location
1540 Spring Valley Drive
Audiology (126)
Huntington, WV 25704
Mailing address
1540 Spring Valley Drive
Audiology (126)
Huntington, WV 25704
Phone (304) 429-6741
Other names 1
- Dr. Kristin Darlene Martin
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0365 | KY | MD | Audiologist |
| KY-0365 | KY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1942229240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DRIVE",
"address_2": "AUDIOLOGY (126)",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25704",
"telephone_number": "304-429-6741",
"fax_number": "304-429-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DRIVE",
"address_2": "AUDIOLOGY (126)",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25704",
"telephone_number": "304-429-6741",
"fax_number": "304-429-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDEN",
"first_name": "KRISTIN",
"middle_name": "DARLENE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0365",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "KY-0365",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "KY",
"license": "KY-0365",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KY",
"license": "KY-0365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "MARTIN",
"middle_name": "DARLENE",
"prefix": "DR.",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.