Individual provider Active NPI

Beth Kenny, AUD

  • Audiologist
  • Greensburg, PA
National Provider Identifier
1013098730
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005881 Issued in PA
Practice address
522 W Newton St
Suite 200
Greensburg, PA 15601-2820
Phone
(724) 834-8113
Fax
(724) 832-7496
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005881 PA Primary

Addresses

Primary practice location

522 W Newton St
Suite 200
Greensburg, PA 15601-2820

Mailing address

206 Lake Colony Dr
Venetia, PA 15367-2340
Phone (412) 337-5170

Other names 1

  • Beth M Gordon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000712 PA Practitioner - Qualified Audiologist 0547162158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005881PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Mar 17, 2025 Accepting new patients
Hearing Unlimited Inc Audiologist PastSince Jan 1, 2019 Accepting new patients
Southwestern Hearing Care, Inc. Past Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

7230 Baptist Rd
Ste 11
Bethel Park, PA 15102

401 Adams Ave
Ste 305
Scranton, PA 18510
Phone (570) 344-4327

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1013098730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE COLONY DR",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "153672340",
            "telephone_number": "412-337-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W NEWTON ST",
            "address_2": "SUITE 200",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012820",
            "telephone_number": "724-834-8113",
            "fax_number": "724-832-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GORDON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.

Verify at the official NPI Registry.