Individual provider Active NPI

Kelli Warner

  • Audiologist
  • Glendale, CA
National Provider Identifier
1124504519
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3685 Issued in CA
Practice address
1415 E Colorado St Ste 201
Glendale, CA 91205-1536
Phone
(818) 900-4327
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU3685 CA Primary
Audiologist 231H00000X

Addresses

Primary practice location

1415 E Colorado St Ste 201
Glendale, CA 91205-1536

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405

Other practice location 1

104 Sleepy Hollow Dr Ste 202
Middletown, DE 19709-5842
Phone (302) 376-3500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU3685CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Past Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients
Soundpoint Audiology & Hearing Services LLC Audiologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1124504519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E COLORADO ST STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051536",
            "telephone_number": "818-900-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Sleepy Hollow Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095842",
            "country_code": "US",
            "telephone_number": "302-376-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3685",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.