Active NPI
Kathy Landau Goodman, AUD
- Audiologist-Hearing Aid Fitter
- Narberth, PA
National Provider Identifier
1013915545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AT000310L
- Practice address
- 916 Montgomery Ave
Main Line Audiology Consultants, PC
Narberth, PA 19072 - Phone
- (610) 667-3277
- Fax
- (610) 667-1662
- NPI assigned
- Jul 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AT000310L | PA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 41YA00031600 | NJ |
Addresses
Primary practice location
916 Montgomery Ave
Main Line Audiology Consultants, PC
Narberth, PA 19072
Mailing address
916 Montgomery Ave
Main Line Audiology Consultants, PC
Narberth, PA 19072
Phone (610) 667-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049105000 | Other | PA | KEYSTONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpaca Audiology, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
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 Aid Equipment
- Washington, NC
- NPI 1659936367
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1013915545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 MONTGOMERY AVE",
"address_2": "MAIN LINE AUDIOLOGY CONSULTANTS, PC",
"city": "NARBERTH",
"state": "PA",
"postal_code": "19072",
"telephone_number": "610-667-3277",
"fax_number": "610-667-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 MONTGOMERY AVE",
"address_2": "MAIN LINE AUDIOLOGY CONSULTANTS, PC",
"city": "NARBERTH",
"state": "PA",
"postal_code": "19072",
"telephone_number": "610-667-3277",
"fax_number": "610-667-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDAU GOODMAN",
"first_name": "KATHY",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "AT000310L",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "41YA00031600",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0049105000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.