Kristin Eidam, MS, CCC-A

Public-record details

Address

116 Main St, Wakefield, RI 02879

Phone

(401) 782-4400

Listed under

Audiologists, Individual clinicians

NPI

1477711562

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Audiologist (231H00000X)

Credentials listed

MS, CCC-A

License number on NPI record

AUD00176 (RI)

NPI first issued

May 27, 2008

NPI record last updated

Sep 10, 2014

NPI 1477711562 is active in the federal NPPES registry (CMS); license AUD00176 (RI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-21.

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What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it.

View NPI 1477711562 in the official registry ↗