Active NPI
Alisa Foster McKay, AU.D.
- Audiologist
- Salt Lake City, UT
National Provider Identifier
1093453318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 12868435-4101
- Practice address
- 500 Foothill Dr
Salt Lake City, UT 84148-0001 - Phone
- (801) 582-1565
- NPI assigned
- May 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 12868435-4101 | UT | Primary |
Addresses
Primary practice location
500 Foothill Dr
Salt Lake City, UT 84148-0001
Mailing address
590 Foothill Drive (126)
Salt Lake, UT 84148
Phone (801) 582-1565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12868435-4101 | Other | UT | PROFESSIONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12868435-4101 | UT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1093453318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 FOOTHILL DRIVE (126)",
"city": "SALT LAKE",
"state": "UT",
"postal_code": "84148",
"telephone_number": "801-582-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FOOTHILL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001",
"telephone_number": "801-582-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "ALISA",
"middle_name": "FOSTER",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2023-11-08",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "12868435-4101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "12868435-4101",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.