Individual provider Active NPI

Allison Faye Keenan, AU.D., FAAA

  • Audiologist
  • Erie, PA
National Provider Identifier
1053407312
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000382L Issued in PA
Practice address
2550 West 8TH St
Erie, PA 16505-4432
Phone
(814) 833-9533
Fax
(814) 833-1621
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000382L PA Primary

Addresses

Primary practice location

2550 West 8TH St
Erie, PA 16505-4432

Mailing address

2550 West 8TH St
Erie, PA 16505-4432
Phone (814) 833-9533

Other identifiers 1

IdentifierTypeStateIssuer
217708OtherPAHIGHMARK BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000052 PA Practitioner - Qualified Audiologist 9133100977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT000382LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Audiology Inc Audiologist CurrentSince Sep 1, 2000 Accepting new patients
Michael D Rairigh,Au.D PLLC PastSince Sep 1, 2000 Accepting new patients

Locations

2616 W 8th St
Erie, PA 16505
Phone (814) 833-9533

2550 W 8th St
Erie, PA 16505
Phone (814) 833-9533

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1053407312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WEST 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054432",
            "telephone_number": "814-833-9533",
            "fax_number": "814-833-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WEST 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054432",
            "telephone_number": "814-833-9533",
            "fax_number": "814-833-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "ALLISON",
        "middle_name": "FAYE",
        "credential": "AU.D., FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000382L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "217708",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.