Gregory Kettelhake, AU.D.
NPI 1366824690 · Audiologist · Auburn, CA
Enrolled with Medicare as Practitioner - Qualified Audiologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gregory Kettelhake, AU.D. is a Audiologist provider in Auburn, CA (NPI 1366824690).
Provider details
- NPI number
- 1366824690
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AU.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 3058 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2022-01-03
Frequently asked questions
- What is Gregory Kettelhake's NPI number?
- Gregory Kettelhake's National Provider Identifier (NPI) is 1366824690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Kettelhake's specialty?
- Gregory Kettelhake is listed in the NPPES registry with a primary specialty of Audiologist (Speech, Language and Hearing Service Providers).
- Where is Gregory Kettelhake located?
- Gregory Kettelhake's practice location on file with NPPES is 11990 Heritage Oak Pl Ste 11, Auburn, CA 95603-2405.
- What is Gregory Kettelhake's phone number?
- The practice phone number listed in the NPPES registry for Gregory Kettelhake is (530) 823-7532.
- Does Gregory Kettelhake accept Medicare?
- Gregory Kettelhake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gregory Kettelhake's NPI active?
- Yes — Gregory Kettelhake's NPI (1366824690) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.