Individual provider

Kathleen Theilacker, AUD

Audiologist Speech-Language Assistant Medicare enrolled

Kathleen Theilacker, AUD is a provider specialising in Audiologist in Clackamas, OR, registered under NPI 1205348166. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 9280 SE SUNNYBROOK BLVD STE 300, Clackamas, OR 97015. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9280 SE SUNNYBROOK BLVD STE 300, Clackamas, OR 97015 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
31052 OR Audiologist primary
4382 CA Speech-Language Assistant

Licences are recorded in 2 states: OR, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Qualified Audiologist
PAC ID
0345626008

Medicare enrolment is recorded as approved under the provider type Practitioner - Qualified Audiologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and Oregon. The practice address on file is in Clackamas, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
4382
Specialty
Speech-Language Assistant
Verify with the CA board →
OR Oregon practice address
Licence
31052
Specialty
Audiologist
Verify with the OR board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Audiologist covers

(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. NUCC Health Care Provider Taxonomy, code 231H00000X
Speech, Language and Hearing Service Providers Audiologist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
231H00000X Audiologist 31052 OR primary
2355S0801X Speech-Language Assistant Speech-Language Assistant 4382 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205348166 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 1, 2017
Last updatedSep 14, 2022
StatusActive
Sole proprietorNo
CredentialAUD
Practice address 9280 SE SUNNYBROOK BLVD STE 300
Clackamas, OR 97015
(503) 233-5548
Fax (503) 230-1009
The last update on file is Sep 14, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1205348166 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 3 4 8 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 6 4 7 1 3

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205348166?
NPI 1205348166 is the National Provider Identifier assigned to Kathleen Theilacker, AUD in Clackamas, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Audiologist cover?
(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…
How do I contact Kathleen Theilacker, AUD?
The phone number on file with NPPES is (503) 233-5548, last updated Sep 14, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kathleen Theilacker, AUD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205348166 a valid number?
Yes. 1205348166 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.