Individual provider Active NPI

Katie Bertheas, AU.D.

  • Audiologist
  • Yakima, WA
National Provider Identifier
1972906881
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD60502225 Issued in WA
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

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LD60502225OtherWASTATE 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

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Jun 1, 2020 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jun 1, 2020 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.

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.

Verify at the official NPI Registry.