Individual provider Active NPI

Cherise S. Keane, AU.D.

  • Audiologist
  • Exton, PA
National Provider Identifier
1174819569
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006214 Issued in PA
Practice address
460 Creamery Way Ste 103
Exton, PA 19341-2533
Phone
(610) 384-8300
Fax
(610) 384-8885
NPI assigned
Jun 23, 2011
Last updated
Sep 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006214 PA Primary

Addresses

Primary practice location

460 Creamery Way Ste 103
Exton, PA 19341-2533

Mailing address

994 Old Eagle School Rd Ste 1017
Wayne, PA 19087-1802
Phone (610) 902-6092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208002528 NY Practitioner - Qualified Audiologist 2961673496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Medical Group, P.C.Group PAC ID 7012820301, 233 clinicians
Hearing Evaluation Services of Buffalo IncGroup PAC ID 8325096928, 19 clinicians

Practice addresses (Care Compare)

325 Essjay Rd
Williamsville, NY 14221-8243
Phone (716) 630-1000

4600 Main St
Suite 201
Amherst, NY 14226-4500
Phone (716) 833-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006214PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Evaluation Services of Buffalo, Inc. Audiologist CurrentSince Jun 1, 2021 Accepting new patients
Life Sounds Audiology, Inc CurrentSince Jun 1, 2021 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Pinnacle ENT Alliance of New Jersey LLC Past Accepting new patients

Locations

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

4600 Main St
Ste 201
Snyder, NY 14226
Phone (716) 650-5088

325 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1102

425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1174819569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 OLD EAGLE SCHOOL RD STE 1017",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871802",
            "telephone_number": "610-902-6092",
            "fax_number": "610-902-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY STE 103",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-384-8300",
            "fax_number": "610-384-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "CHERISE",
        "middle_name": "S.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.