Active NPI
Kerri S McDill, AU.D. CCC-A
- Audiologist
- Casper, WY
National Provider Identifier
1063564417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A928
- Practice address
- 301 S Fenway St
Suite 203
Casper, WY 82601-3051 - Phone
- (307) 266-4100
- Fax
- (307) 266-4106
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | A-928 | WY | |
| Audiologist-Hearing Aid Fitter | 237600000X | A-928 | WY | |
| Hearing Instrument Specialist | 237700000X | A-928 | WY | |
| Assistive Technology Supplier Audiologist | 231HA2500X | A-928 | WY | |
| Audiologist | 231H00000X | A928 | WY | Primary |
| Speech/Language/Hearing Specialist/Technologist | 235500000X | A928 | WY |
Addresses
Primary practice location
301 S Fenway St
Suite 203
Casper, WY 82601-3051
Mailing address
301 S Fenway St
Suite 203
Casper, WY 82601-3053
Phone (307) 266-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306079 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090929000257 | WY | Practitioner - Qualified Audiologist | 9133275407 | Practice locations: Casper, WY |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
130 N Ash St
Suite 104
Casper, WY 82601-1875
Phone (307) 266-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A928 | WY | MD | Audiologist |
| A-928 | WY | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1063564417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S FENWAY ST",
"address_2": "SUITE 203",
"city": "CASPER",
"state": "WY",
"postal_code": "826013053",
"telephone_number": "307-266-4100",
"fax_number": "307-266-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S FENWAY ST",
"address_2": "SUITE 203",
"city": "CASPER",
"state": "WY",
"postal_code": "826013051",
"telephone_number": "307-266-4100",
"fax_number": "307-266-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDILL",
"first_name": "KERRI",
"middle_name": "S",
"credential": "AU.D. CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "WY",
"license": "A-928",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WY",
"license": "A-928",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WY",
"license": "A-928",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "WY",
"license": "A-928",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WY",
"license": "A928",
"primary": true
},
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "WY",
"license": "A928",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306079",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.