Katherine D Moore, AU.D. CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

364156 Issued in WI

Practice address

9200 W Wisconsin Ave
3Rd Floor Audiology Department
Milwaukee, WI 53226-3522

Phone

(414) 805-5587

Fax

(414) 476-4701

NPI assigned

Jan 15, 2007

Last updated

May 19, 2025By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Pennsylvania College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Hearing Clinic of Mequon SCGroup PAC ID 9638311814, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Hearing Clinic of Mequon, S.C.

  • Audiologist
  • Mequon, WI
  • NPI 1477985760
  Medicare reassignment Care Compare group NPD
• Advanced Hearing Solutions of Wisconsin SC

  • Audiologist
  • Brookfield, WI
  • NPI 1164749362
  NPD

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1982755120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 S 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "3RD FLOOR AUDIOLOGY DEPARTMENT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-5587",
            "fax_number": "414-476-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "364156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41141300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina C Moore, M.D.
• Claire Louise Moore, PTA, CMT
• Crystal Moore
• James Eddie Moore, CADC-III
• Karmelita Moore
• Kaylen Marua Moore, RN
• Keisha Moore
• Keyiana Moore
• Lakesha Marion Moore
• Lawrence M Moore, MD

• Audiologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.