Active NPI
Kimberly Knudsen
- Audiologist-Hearing Aid Fitter
- Folsom, CA
National Provider Identifier
1972625770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Practice address
- 1561 Creekside Dr Ste 180
Folsom, CA 95630-3495 - Phone
- (916) 984-8830
- Fax
- (916) 984-8834
- NPI assigned
- Apr 4, 2007
- Last updated
- May 31, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
1561 Creekside Dr Ste 180
Folsom, CA 95630-3495
Mailing address
1111 Exposition Blvd
BLDG 700
Sacramento, CA 95815-4300
Phone (916) 736-3408
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1972625770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EXPOSITION BLVD",
"address_2": "BLDG 700",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154300",
"telephone_number": "916-736-3408",
"fax_number": "916-233-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 CREEKSIDE DR STE 180",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303495",
"telephone_number": "916-984-8830",
"fax_number": "916-984-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUDSEN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.