Carol Kathleen Free, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU635 Issued in CA

Practice address

245 M Mt Hermon Road
Suite 149
Scotts Valley, CA 95066-4045

Phone

(831) 336-4444

Fax

(831) 604-1405

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, CA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Carol Kathleen Free, Audiologist

  • Audiologist
  • Scotts Valley, CA
  • NPI 1407058266
  NPD (past) Authorized official
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  Audiologist

  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1992865430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 BRODHEAD ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180421604",
            "telephone_number": "610-253-1144",
            "fax_number": "610-253-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 M MT HERMON ROAD",
            "address_2": "SUITE 149",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664045",
            "telephone_number": "831-336-4444",
            "fax_number": "831-604-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "CAROL",
        "middle_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU635",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000270L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0006350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.