Active NPI
Kiley Edwards Stephenson, AU.D., CCC-A
- Audiologist-Hearing Aid Fitter
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 5958
- Practice address
- 2802 Kilpatrick Blvd
Monroe, LA 71201-5139 - Phone
- (318) 855-6282
- NPI assigned
- Sep 26, 2008
- Sex
- Male
- 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-Hearing Aid Fitter | 237600000X | 12104582 | LA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 5958 | LA | Primary |
Addresses
Primary practice location
2802 Kilpatrick Blvd
Monroe, LA 71201-5139
Mailing address
604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897
Phone (985) 446-5079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2802 Kilpatrick Blvd
Monroe, LA 71201-5139
Phone (318) 855-6282
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12104582 | LA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Ear, Nose, & Throat Specialists, Inc. | Current | Accepting new patients | |
| ENT Associates of Northeast Louisiana, LLC | Current | Accepting new patients | |
| Green Clinic LLC | Current | Accepting new patients | |
| Green Clinic LLC | Current | Accepting new patients |
Locations
2802 Kilpatrick Blvd
Monroe, LA 71201
Phone (318) 855-6282
1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103
604 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-5079
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Thibodaux, LA
- NPI 1083713101
-
- Otolaryngology Physician
- Monroe, LA
- NPI 1740530427
-
- Rural Health Clinic/Center
- Ruston, LA
- NPI 1578021093
-
- Family Medicine Physician
- Ruston, LA
- NPI 1831178755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1215187232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N ACADIA RD STE 101",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014897",
"telephone_number": "985-446-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 KILPATRICK BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712015139",
"telephone_number": "318-855-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "KILEY",
"middle_name": "EDWARDS",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-26",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "LA",
"license": "12104582",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "LA",
"license": "5958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.