Katlyn Crisp, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

14995 Issued in NC

Practice address

11121 Carmel Commons Blvd Ste 150
Charlotte, NC 28226-1906

Phone

(704) 412-7975

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Audiology & Hearing Services of Charlotte, PLLC

  • Audiologist
  • Charlotte, NC
  • NPI 1790147429
  Medicare reassignment NPD
• Cornerstone Ear Nose & Throat PA

  • Specialist
  • Monroe, NC
  • NPI 1538171871

  SC

  Medicare reassignment NPD
• Cornerstone Ear Nose & Throat PA

  • Otolaryngology Physician
  • Indian Land, SC
  • NPI 1932800745
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1962075929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 CARMEL COMMONS BLVD STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261906",
            "telephone_number": "704-412-7975",
            "fax_number": "888-965-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 CARMEL COMMONS BLVD STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261906",
            "telephone_number": "704-412-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "KATLYN",
        "name_prefix": "Ms.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "14995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crimson Wellness LLC
• Matthew Criner, DPT
• Crystal Cripe, BCBA
• Annabel Rachel Crippen, DO
• Breanna Nicole Crisp, LCSW
• Ria Crissinger, LCMHCA
• Jon Anthony Cristino, CRNA
• Mikayla Mary Cristino, PA
• Elizabeth Louise Cristy
• Criswell & Criswell, P.a.

• Audiologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.