KAYTEE NICOLE LATZKE (AUD) – Audiologist, NPI 1265325617

KAYTEE NICOLE LATZKE (AUD) is a healthcare provider. based in Edmond, Oklahoma. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 6488 (OK). The NPI Number for KAYTEE NICOLE LATZKE (AUD) is 1265325617

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KAYTEE NICOLE LATZKE (AUD)
NPI
1265325617
Phone
(405) 546-4280
Address
3824 S BOULEVARD STE 110
Enumeration Date
2 June 2025
Last Update Date
12 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055621810
Graduation Year
2025 (1 year ago)
PAC ID
2668987306
Group Practice PAC ID
5496998627
Professional Enrollment ID
I20250712000319
Address ID
OK730135779ED3824XBOUL301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

128 QUALIFIED AUDIOLOGIST in OK

Provider Addresses for KAYTEE NICOLE LATZKE (AUD)

  • 3824 S BOULEVARD STE 110

    EDMOND, OK 730135779

    Phone: (405) 546-4280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250712000319IQualified AudiologistOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496998627View full group profile
NameSpecialtyState
-OK
-OK
Qualified AudiologistIL
Qualified AudiologistOK
Qualified AudiologistOK
Qualified AudiologistOK
Qualified AudiologistTX
-OK
Qualified AudiologistOK
Qualified AudiologistOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAYTEE NICOLE LATZKE (AUD)?
KAYTEE NICOLE LATZKE (AUD) — NPI 1265325617 — is the standard way to identify this listing.
Is KAYTEE NICOLE LATZKE (AUD) still practicing?
KAYTEE NICOLE LATZKE (AUD) is currently listed as active in the public NPI registry.
What is KAYTEE NICOLE LATZKE (AUD)'s specialty?
The listing groups KAYTEE NICOLE LATZKE (AUD) with Audiologist. Clinical services aligned with this taxonomy classification.
Where is KAYTEE NICOLE LATZKE (AUD) based?
KAYTEE NICOLE LATZKE (AUD) is tied to Edmond, Oklahoma in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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