Individual provider Active NPI

Katherine A Kelly

  • Audiologist
  • Milwaukie, OR
National Provider Identifier
1942745237
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30871 Issued in OR
Practice address
10024 SE 32ND Ave
Milwaukie, OR 97222-6514
Phone
(503) 513-8693
Fax
(503) 659-2191
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30871 OR Primary

Addresses

Primary practice location

10024 SE 32ND Ave
Milwaukie, OR 97222-6514

Mailing address

10024 SE 32ND Ave
Milwaukie, OR 97222-6514
Phone (503) 513-8693

Other names 1

  • Katherine E Emard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207001684 OR Practitioner - Qualified Audiologist 3072896554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pacific Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest ENT Allergy and Sleep Associates LLCGroup PAC ID 8628417508, 5 clinicians

Practice addresses (Care Compare)

10330 SE 32ND Ave
Suite 320
Milwaukie, OR 97222-6596
Phone (503) 513-8693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest ENT and Allergy Care Inc CurrentSince Mar 1, 2017 Accepting new patients
Northwest ENT, Allergy and Sleep Associates, LLC CurrentSince Apr 27, 2024 Accepting new patients

Locations

10024 SE 32nd Ave
Portland, OR 97222
Phone (503) 513-8693

501 N Graham St
Ste 455
Portland, OR 97227
Phone (503) 288-2358

10330 SE 32nd Ave
Ste 320
Portland, OR 97222
Phone (503) 513-8693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1145/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1942745237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SE 32ND AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226514",
            "telephone_number": "503-513-8693",
            "fax_number": "503-659-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SE 32ND AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226514",
            "telephone_number": "503-513-8693",
            "fax_number": "503-659-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "EMARD",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.

Verify at the official NPI Registry.