Kathleen Marie Kelly, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000052 Issued in MI

Practice address

2325 Summit Park Dr
Suite B
Petoskey, MI 49770-8774

Phone

(231) 347-1800

Fax

(231) 347-1864

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Kathleen Marie Birchfield Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Audiologist, MI

  Medicare reassignment NPD
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD
• Hearing Specialists of Northern Michigan

  • Audiologist-Hearing Aid Fitter
  • Petoskey, MI
  • NPI 1003924366
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1144264573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N US HIGHWAY 31",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709305",
            "telephone_number": "231-489-1006",
            "fax_number": "231-753-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 SUMMIT PARK DR",
            "address_2": "SUITE B",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708774",
            "telephone_number": "231-347-1800",
            "fax_number": "231-347-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AUDIOLOGYPROVIDER ID",
            "identifier": "640B410780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEARING PROVIDER ID",
            "identifier": "540B410790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BIRCHFIELD",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Irene S Kazmers, MD
• Colleen M Keith, MACCCA
• Amy Keller, FNP-BC
• Andrew Barclay Keller, PH.D.
• Margaret Elaine Keller, RN
• Jessica J Kenyon, RN
• Teresa Kersting, PAC
• Levon Khojayan, MD
• Meaghan Kilbourn
• Elizabeth A King, LPC

• Audiologist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.