Southeast Kentucky Audiology Services Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOUTHEAST KENTUCKY AUDIOLOGY SERVICES INC.

Practice address

200 Allison Blvd
Corbin, KY 40701-7964

Phone

(606) 528-9993

Fax

(606) 528-5553

NPI assigned

Dec 3, 2007

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth RogersNPI 1922352814

Title

President/Owner

Phone

(606) 528-9993

Specialties & licenses 8

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Laine Rogers, AUD

  • Audiologist
  • Corbin, KY
  • NPI 1922352814
  Medicare reassignment Care Compare group NPD Authorized official
• Kara D Kratzer, AU.D.

  • Audiologist
  • Corbin, KY
  • NPI 1801241047
  Medicare reassignment Care Compare group NPD
• Courtney Lawson Blankenship, AUD

  • Audiologist
  • Greensboro, NC
  • NPI 1053925354

  KY

  Medicare reassignment Care Compare group NPD
• Whitney Hall

  • Speech-Language Pathologist
  • Corbin, KY
  • NPI 1437630779
  Medicare reassignment NPD
• Stephanie Lovitt

  • Family Nurse Practitioner
  • Wlliamsburg, KY
  • NPI 1922751411
  Medicare reassignment NPD
• Christopher D Frisch, MD

  • Otolaryngology Physician
  • Grand Rapids, MI
  • NPI 1740575984

  KY

  Medicare reassignment NPD
• Tonya Leigh Muncy, HIS

  • Hearing Instrument Specialist
  • Corbin, KY
  • NPI 1063777662
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1073795944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALLISON BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017964",
            "telephone_number": "606-528-9993",
            "fax_number": "606-528-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALLISON BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017964",
            "telephone_number": "606-528-9993",
            "fax_number": "606-528-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 S Highway 27 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425013402",
            "country_code": "US",
            "telephone_number": "606-528-9993",
            "fax_number": "606-528-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST KENTUCKY AUDIOLOGY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "606-528-9993"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "KY",
            "license": "00380",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1205224",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHI",
            "identifier": "C66002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70001037",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000294056",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "30954",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerri Melissa Smitley, MA
• Jason Eric Snell
• Linda Ann Snyder, MSSW, CSW
• Soulistic Counseling LLC (Soulistic Counseling)
• South East Eyecare PSC
• Southeast Kentucky Speech Pathology Services, Inc.
• Southeast Kentucky Speech Pathology, LLC
• Southeast Oral and Maxillofacial Surgery Associates
• Southeastern Kentucky Physical Therapy Clinic Inc (Corbin Physical Therapy Clinic)
• Southeastern Medical Supply LLC

• Multi-Specialty Clinic/Center in Corbin, KY
• Providers in Corbin, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.