Active NPI
Kelsey Baney, AUD
- Audiologist-Hearing Aid Fitter
- Santa Monica, CA
National Provider Identifier
1003579749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 3613
- Practice address
- 1131 Wilshire Blvd Ste 202
Santa Monica, CA 90401-2065 - Phone
- (310) 825-5721
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 3613 | CA | Primary |
Addresses
Primary practice location
1131 Wilshire Blvd Ste 202
Santa Monica, CA 90401-2065
Mailing address
20520 Ventura Blvd Apt 109
Woodland Hills, CA 91364-6215
Phone (317) 319-6050
Other practice location 1
301 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone (805) 379-0824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3613 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Hearing & Balance Center | Current | Accepting new patients |
Locations
2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320
301 S Moorpark Rd
Thousand Oaks, CA 91361
Phone (805) 379-0824
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.
-
- Hearing and Speech Clinic/Center
- Simi Valley, CA
- NPI 1659300499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1003579749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20520 VENTURA BLVD APT 109",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913646215",
"telephone_number": "317-319-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 WILSHIRE BLVD STE 202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012065",
"telephone_number": "310-825-5721"
}
],
"practiceLocations": [
{
"address_1": "301 S Moorpark Rd",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913611008",
"country_code": "US",
"telephone_number": "805-379-0824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANEY",
"first_name": "KELSEY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "3613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.