Active NPI
Deborah Ann Keck, M.S., CCC-A
- Audiologist
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1094
- Practice address
- 3 Medical Plaza Dr Ste 220
Roseville, CA 95661-3088 - Phone
- (916) 773-7920
- Fax
- (916) 773-7919
- NPI assigned
- Jan 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 | AU1094 | CA | Primary |
Addresses
Primary practice location
3 Medical Plaza Dr Ste 220
Roseville, CA 95661-3088
Mailing address
999 S Fairmont Ave
Suite 215
Lodi, CA 95240-5100
Phone (209) 333-8510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU1094 | Medicaid | CA | |
| AU1094 | Other | CA | STATE LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | planchdk@suterhealth.org | ||
| Direct Messaging Address | planchdk@sutterhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
3 Medical Plaza Dr
Roseville, CA 95661-3088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1094 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
3 Medical Plaza Dr
Ste 220
Roseville, CA 95661
Phone (916) 773-7920
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
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.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
dba Sutter Regional Medical Foundation
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1215359534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 S FAIRMONT AVE",
"address_2": "SUITE 215",
"city": "LODI",
"state": "CA",
"postal_code": "952405100",
"telephone_number": "209-333-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MEDICAL PLAZA DR STE 220",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613088",
"telephone_number": "916-773-7920",
"fax_number": "916-773-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KECK",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU1094",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AU1094",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "planchdk@suterhealth.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "3 Medical Plaza Dr Ste 220",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "956613088",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "planchdk@sutterhealth.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "3 Medical Plaza Dr Ste 220",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "956613088",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.