Active NPI
Katie Bertheas, AU.D.
- Audiologist
- Yakima, WA
National Provider Identifier
1972906881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60502225
- Practice address
- 303 S 12TH Ave
Yakima, WA 98902-3112 - Phone
- (509) 453-8248
- Fax
- (509) 248-9012
- NPI assigned
- Oct 6, 2014
- 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 | LD60502225 | WA | Primary |
Addresses
Primary practice location
303 S 12TH Ave
Yakima, WA 98902-3112
Mailing address
303 S 12TH Ave
Yakima, WA 98902-3112
Phone (509) 453-8248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD60502225 | Other | WA | STATE LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients |
Locations
208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
303 S 12th Ave
Yakima, WA 98902
Phone (509) 453-8248
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
-
- Clinic/Center
- Yakima, WA
- NPI 1609395060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1972906881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023112",
"telephone_number": "509-453-8248",
"fax_number": "509-248-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023112",
"telephone_number": "509-453-8248",
"fax_number": "509-248-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTHEAS",
"first_name": "KATIE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60502225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LD60502225",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.