Kelsey Mullen, AUD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2129 Issued in TN

Practice address

4220 Ocoee St N Ste 102
Cleveland, TN 37312-2395

Phone

(423) 641-0956

Fax

(423) 641-0955

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ahlberg Audiology and Hearing Aid Services LLCGroup PAC ID 9133455363, 3 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 and National Provider Directory roles.

• Ahlberg Audiology and Hearing Aid Services LLC

  • Audiologist
  • Cleveland, TN
  • NPI 1942683776
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1093434680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124829",
            "telephone_number": "423-641-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N STE 102",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122395",
            "telephone_number": "423-641-0956",
            "fax_number": "423-641-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Congress Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373032259",
            "country_code": "US",
            "telephone_number": "423-641-0956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "KELSEY",
        "credential": "AUD,  CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "2129",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chastity Rose Moses
• Hunter Simpson Motter
• Mounir Rahbe
• Melissa Moyen, BASW, MSW, LICENSED
• Christopher Eugene Muegge, OD
• Christopher Noel Mullin, M.D.
• Danielle Mullins, ATC
• David L Mullins, ACNP-BC
• Jeffrey Bryan Mullins, ATC
• Brittani P Munck

• Audiologist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.