IndividualActive
Carol Kisner-Bothwell, AUD
NPI 1053320523 · Audiologist · Meriden, CT
Provider details
- NPI number
- 1053320523
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD
- Sex
- Female
- Sole proprietor
- No
- License
- 000203 (CT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Prestige Dr
Suite 107
Meriden, CT 06450-7164
Phone: (203) 639-0311
Fax: (203) 639-1489
Street-level locationGet directions
Mailing address
25 Needham St
Newton, MA 02461-1615
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.