Individual provider Active NPI

Kasey Brickey, AU.D.

  • Audiologist
  • Salem, OR
National Provider Identifier
1003292277
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
2521 Boone Rd SE Ste 120
Salem, OR 97306-9391
Phone
(971) 701-6322
Fax
(971) 915-2689
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X MT
Audiologist 231H00000X Primary

Addresses

Primary practice location

2521 Boone Rd SE Ste 120
Salem, OR 97306-9391

Mailing address

2521 Boone Rd SE Ste 120
Salem, OR 97306-9391
Phone (971) 701-6322

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMT

Other names 1

  • Kasey Amanda Martinez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002176 OR Practitioner - Qualified Audiologist 9335459544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MLM USA LLCGroup PAC ID 0143762799, 14 clinicians
Salem Audiology Clinic IncGroup PAC ID 9133019698, 5 clinicians

Practice addresses (Care Compare)

2521 Boone Rd SE
Suite 120
Salem, OR 97306-9391
Phone (971) 701-6322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Audiology Clinic, Inc Audiologist CurrentSince Aug 1, 2022 Accepting new patients
MLM USA LLC Audiologist CurrentSince Oct 10, 2025 Accepting new patients
Klamath Audiology Audiologist PastSince Aug 1, 2009 Accepting new patients

Locations

35 Waterview Blvd
Ste 200
Parsippany, NJ 07054

123 N 4th St
Klamath Falls, OR 97601
Phone (541) 882-4167

2521 Boone Rd SE
Ste 120
Salem, OR 97306
Phone (971) 701-6322

3857 Wolverine St NE
#16C
Salem, OR 97305
Phone (503) 588-1039

1301 Evergreen Rd
Ste E
Woodburn, OR 97071
Phone (503) 981-8575

Organizations & group practices 3

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1003292277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 BOONE RD SE STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069391",
            "telephone_number": "971-701-6322",
            "fax_number": "971-915-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 BOONE RD SE STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069391",
            "telephone_number": "971-701-6322",
            "fax_number": "971-915-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKEY",
        "first_name": "KASEY",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "MARTINEZ",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.