Active NPI
Sonya Arlene Keller
- Audiologist
- Bucyrus, OH
National Provider Identifier
1174742431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01045
- Practice address
- 1008 S Sandusky Ave
Bucyrus, OH 44820 - Phone
- (419) 562-0707
- Fax
- (419) 562-0707
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01045 | OH | Primary |
Addresses
Primary practice location
1008 S Sandusky Ave
Bucyrus, OH 44820
Mailing address
1008 S Sandusky Ave
Bucyrus, OH 44820-3244
Phone (419) 562-0707
Other practice location 1
250 Highland Pkwy Ste C
Upper Sandusky, OH 43351-9808
Phone (419) 209-0402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2698264 | Medicaid | OH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01045 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonya Keller | Audiologist | Past | Accepting new patients |
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": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1174742431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 S SANDUSKY AVE",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448203244",
"telephone_number": "419-562-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 S SANDUSKY AVE",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "44820",
"telephone_number": "419-562-0707",
"fax_number": "419-562-0707"
}
],
"practiceLocations": [
{
"address_1": "250 Highland Pkwy Ste C",
"address_purpose": "LOCATION",
"city": "Upper Sandusky",
"state": "OH",
"postal_code": "433519808",
"country_code": "US",
"telephone_number": "419-209-0402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "SONYA",
"middle_name": "ARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2698264",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bucyrus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.