Anna C Kennerknecht, AU.D., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A.02285 Issued in OH

Practice address

815 Crocker Rd Ste 8
Westlake, OH 44145-1072

Phone

(440) 438-3401

Fax

(440) 999-8924

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• Maryanns Family Hearing LLC

  • Audiologist
  • Painesville, OH
  • NPI 1760409700
  NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1104029214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CROCKER RD STE 8",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451072",
            "telephone_number": "440-438-3401",
            "fax_number": "440-999-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CROCKER RD STE 8",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451072",
            "telephone_number": "440-438-3401",
            "fax_number": "440-999-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNERKNECHT",
        "first_name": "ANNA",
        "middle_name": "C",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "310",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A.02285",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "310",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MT",
            "license": "6606",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MT",
            "license": "6606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83234551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Kelly, P.A.
• Robert Kemmerer
• Zelalem Kenea
• Alayna Rei Kennedy
• Troy A Kennedy, OT
• Katelyn Kenny
• Lauren Elizabeth Kerr, M.D.
• Dionne M Kersh, MA, MS
• Anna Keruskin, RBT
• Paul Christopher Kessling II, DDS

• Audiologist-Hearing Aid Fitter in Westlake, OH
• Providers in Westlake, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.