Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Dibartolome

Individual provider Audiologist · NPI 1649795204

Katherine Dibartolome is a Qualified Audiologist in Memphis, Tennessee. Graduated from California University of Science and Medicine in 2025, 1 year ago. Practices with Mid-South Ear Nose and Throat PC, a 32-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Tennessee.

Years since qualifying
1
Trained at
California University of Science and Medicine
Licensed in
CA, TN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

6263 Poplar Ave
Memphis, TN 38119-4701
Phone: (714) 366-9226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 26726 Crown Valley Pkwy Ste 210, Mission Viejo, CA 92691-8006 — (949) 276-4008
  • 8001 Centerview Pkwy, Cordova, TN 38018-4228 — (901) 755-5300

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 4055 (CA)
Audiologist Taxonomy 231H00000X · Licence 2325 (TN)

Record details

NPI number1649795204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address1790 Mill Glen Cv, Cordova, TN 38016-1611

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolCALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
Graduated 2025 (1 years in practice)
Group practice Mid-South Ear Nose And Throat Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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