Active NPI
Kelli Warner
- Audiologist
- Glendale, CA
National Provider Identifier
1124504519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU3685
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AU3685 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
-
- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
-
- Audiologist
- Clackamas, OR
- NPI 1003851783
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.