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DR. KAITLIN THERESA RYAN AU.D.
NPI 1073172235
Audiologist in Palo Alto, CA

Active since June 11, 2019
3801 MIRANDA AVE, PALO ALTO, CA 94304(650) 493-5000 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kaitlin Theresa Ryan Au.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAITLIN THERESA RYAN AU.D. (NPI 1073172235) is an individual audiologist in Palo Alto, California, licensed in Iowa (096972) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1073172235
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. KAITLIN THERESA RYANCredential: AU.D.
Location Address3801 MIRANDA AVEPalo Alto, CA 94304-1207
Mailing Address453 Great RdStow, MA 01775-1056 · (978) 793-0093
Phone(650) 493-5000
Sole ProprietorNo
Enumeration DateJune 11, 2019
✔ NPI 1073172235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in IA · 096972
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
3801 MIRANDA AVE, Palo Alto, CA 94304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kaitlin Theresa Ryan Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Kaitlin Ryan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Center, Inc
2,658 mi
Dietitian, Registered
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 63 clinicians in this Medicare group
NPI 1679131361 (508) 334-1000
Umass Memorial Medical Group, Inc.
2,659 mi
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1982381018 (508) 499-1760
Tufts Medical Center, Inc.
2,695 mi
General Acute Care Hospital
800 WASHINGTON ST
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 74 clinicians in this Medicare group
NPI 1730132515 (617) 636-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA ELIZABETH STODDARD PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
DR. KEVIN MCKENNA PH.D.
Psychologist (Clinical)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
VALLANCE WA-LUN AU-YEUNG PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
ARLENE VICENTE-VELASCO
Registered Nurse
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MAHNOOSH KUHBANANI SEIFODDINI M.D.
Internal Medicine
3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304
Santa Clara County (209) 946-3400
DR. EDWARD LEE COHEN MD
Obstetrics & Gynecology
3801 MIRANDA AVE, #112
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. JEAN JONES GURGA OTR/L
Occupational Therapist
3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MS. ELLEN WHITE FORD LCSW, MSW, MPH
Social Worker (Clinical)
3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Ryan's NPI number?

The NPI number for Kaitlin Ryan is 1073172235. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Kaitlin Ryan located?

Kaitlin Ryan practices at 3801 Miranda Ave, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Kaitlin Ryan's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Kaitlin Ryan enrolled in Medicare?

Yes. Kaitlin Ryan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaitlin Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Ryan reassigns Medicare benefits to 3 organizations: Umass Memorial Medical Center, Inc (Worcester, MA), Umass Memorial Medical Group, Inc. (Oxford, MA) and Tufts Medical Center, Inc. (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlin Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaitlin Ryan was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.