Active NPI
Kristen Wade, AUD
- Audiologist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 277696
- Practice address
- 230 Fountain CT Ste 230
Lexington, KY 40509-1897 - Phone
- (859) 977-5335
- Fax
- (859) 977-5340
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 277696 | KY | Primary |
Addresses
Primary practice location
230 Fountain CT Ste 230
Lexington, KY 40509-1897
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
781 Willow Oak Cir
Lexington, KY 40514-1728
Phone (859) 420-7174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 Nicholasville Rd
Lexington, KY 40503-1404
Phone (859) 278-1114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Leider MD PLLC | Audiologist | Current | Accepting new patients |
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| New Lexington Clinic PSC | Current | Accepting new patients | |
| Jeffrey Leider MD PLLC | Current | Accepting new patients |
Locations
200 Bevins Ln
Ste A
Georgetown, KY 40324
Phone (502) 863-0722
1720 Nicholasville Rd
Ste 500
Lexington, KY 40503
Phone (859) 278-1114
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
1720 Nicholasville Rd
Lexington, KY 40503
Phone (859) 277-2211
230 Fountain Ct
Ste 230
Lexington, KY 40509
Phone (859) 977-5335
1012 Ival James Blvd
Ste B
Richmond, KY 40475
Phone (859) 624-3615
Interoperability endpoints
- kristen.wade.1@13059.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Audiologist
- Ft Wright, KY
- NPI 1902175318
-
- Geriatric Medicine (Family Medicine) Physician
- Ft Wright, KY
- NPI 1063788818
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1992434906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 FOUNTAIN CT STE 230",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091897",
"telephone_number": "859-977-5335",
"fax_number": "859-977-5340"
}
],
"practiceLocations": [
{
"address_1": "781 Willow Oak Cir",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405141728",
"country_code": "US",
"telephone_number": "859-420-7174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "KRISTEN",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "277696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.