Individual provider Active NPI

Susan E. Yezzo, AU.D.

  • Audiologist
  • Frankfort, KY
National Provider Identifier
1003064155
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
100073 Issued in KY
Practice address
279 Kings Daughters Dr Ste 202
Frankfort, KY 40601-6562
Phone
(502) 226-6494
Fax
(502) 226-6493
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 100073 KY Primary

Addresses

Primary practice location

279 Kings Daughters Dr Ste 202
Frankfort, KY 40601-6562

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

150 Mount Vernon Dr Ste 202
Georgetown, KY 40324-1526
Phone (502) 867-7806

Other practice location 2

101 Prosperous Pl Ste 150
Lexington, KY 40509-1868
Phone (859) 629-7140

Other names 1

  • Susan E. Kosky Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000366 KY Practitioner - Qualified Audiologist 4981751831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists PLLCGroup PAC ID 0941222053, 6 clinicians

Practice addresses (Care Compare)

1140 Lexington Rd
Suite 102
Georgetown, KY 40324-9362

150 Mount Vernon Dr
Suite 202
Georgetown, KY 40324-1410
Phone (502) 867-7806

279 Kings Daughters Dr
Suite 202
Frankfort, KY 40601-6562
Phone (502) 226-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0429KYMDAudiologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1003064155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 KINGS DAUGHTERS DR STE 202",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016562",
            "telephone_number": "502-226-6494",
            "fax_number": "502-226-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Mount Vernon Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403241526",
            "country_code": "US",
            "telephone_number": "502-867-7806",
            "fax_number": "502-867-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Prosperous Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091868",
            "country_code": "US",
            "telephone_number": "859-629-7140",
            "fax_number": "859-629-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEZZO",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "100073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KOSKY",
            "middle_name": "E.",
            "credential": "AU.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.