Kelley Ann Bannon, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

CAAU1170 Issued in CA

Practice address

2655 1St St Ste 170
Simi Valley, CA 93065-1565

Phone

(805) 584-3327

Fax

(805) 584-3327

NPI assigned

May 10, 2007

Last updated

Jun 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

At Still University, Arizona School of Dentistry & Oral HLTH, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decibel Hearing ServicesGroup PAC ID 8820058118, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Decibel Hearing Services

  • Audiologist
  • Simi Valley, CA
  • NPI 1932400538
  Medicare reassignment Care Compare group NPD
• Hearx West Inc

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1336304922
  NPD (past)
• Hearx West, LLC

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1356398598
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1023222759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 170",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651565",
            "telephone_number": "805-584-3327",
            "fax_number": "805-584-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 170",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651565",
            "telephone_number": "805-584-3327",
            "fax_number": "805-584-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNON",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "CAAU1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Ball
• Barbara Ann Ballenger, RPH
• Tarika Singh Balyan
• Nguyet Minh Banh, PHARM.D.
• Robert Duncan Bankhardt, DDS
• Reanna Barin
• Jean Barker
• Scott T Barrella, MS LMFT
• Leanna M Barrera
• Barry Wechsler DDS Inc (Legacy Dental Group)

• Audiologist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.