Individual provider Active NPI

Kelli McGuire, AUD

  • Audiologist
  • Lexington, KY
National Provider Identifier
1154079317
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
290130 Issued in KY
Practice address
211 Fountain CT Ste 310
Lexington, KY 40509-2697
Phone
(859) 629-7350
Fax
(859) 629-7351
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A.02198 OH
Audiologist 231H00000X 290130 KY Primary

Addresses

Primary practice location

211 Fountain CT Ste 310
Lexington, KY 40509-2697

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

3225 Eden Ave
Cincinnati, OH 45267-0001
Phone (513) 558-8503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220329000952 OH Practitioner - Qualified Audiologist 7911393004 Reassigns benefits to 1 organization
I20241211004483 IN Practitioner - Qualified Audiologist 7911393004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flecks AudiologyGroup PAC ID 9931469772, 2 clinicians

Practice addresses (Care Compare)

1151 Stone Dr
Suite D
Harrison, OH 45030-2778
Phone (812) 532-3011

401 W Eads Pkwy
Suite 410
Lawrenceburg, IN 47025-1374
Phone (812) 532-3011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A.02198OHMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Flecks Audiology Audiologist-Hearing Aid Fitter CurrentSince Nov 18, 2024 Accepting new patients

Locations

401 W Eads Pkwy
Ste 410
Lawrenceburg, IN 47025
Phone (812) 532-3011

1151 Stone Dr
Ste D
Harrison, OH 45030
Phone (513) 278-5388

Organizations & group practices 1

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1154079317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FOUNTAIN CT STE 310",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092697",
            "telephone_number": "859-629-7350",
            "fax_number": "859-629-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 Eden Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452670001",
            "country_code": "US",
            "telephone_number": "513-558-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "KELLI",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A.02198",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "290130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.