Individual provider Active NPI

Kayla Bloom-Trosky, AU.D., CCC-A

  • Audiologist
  • Hunlock Creek, PA
National Provider Identifier
1003351784
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006466 Issued in PA
Practice address
2449 State Route 118
Hunlock Creek, PA 18621-5022
Phone
(570) 733-3112
Fax
(833) 277-9264
NPI assigned
Jan 4, 2017
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006466 PA Primary

Addresses

Primary practice location

2449 State Route 118
Hunlock Creek, PA 18621-5022

Mailing address

2201 5TH Street Hollow Rd
Suite 3
Bloomsburg, PA 17815-7757
Phone (570) 784-8050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170315000399 PA Practitioner - Qualified Audiologist 7113202185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back Mountain Audiology LLCGroup PAC ID 2769727569, 2 clinicians

Practice addresses (Care Compare)

2449 State Route 118
Hunlock Creek, PA 18621-5016
Phone (570) 733-3112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006466PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Hearing Centers, Inc Audiologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1003351784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 5TH STREET HOLLOW RD",
            "address_2": "SUITE 3",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157757",
            "telephone_number": "570-784-8050",
            "fax_number": "570-784-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 STATE ROUTE 118",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186215022",
            "telephone_number": "570-733-3112",
            "fax_number": "833-277-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM-TROSKY",
        "first_name": "KAYLA",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunlock Creek, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.