Individual provider Active NPI

Kelley Renee' Linton, AU.D.

  • Audiologist
  • Fort Smith, AR
National Provider Identifier
1255323002
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A122 Issued in AR
Practice address
4300 Rogers Ave
Suite 15
Fort Smith, AR 72903-3143
Phone
(479) 785-3277
Fax
(479) 785-3278
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A122 AR Primary

Addresses

Primary practice location

4300 Rogers Ave
Suite 15
Fort Smith, AR 72903-3143

Mailing address

4300 Rogers Ave
Suite 15
Fort Smith, AR 72903-3143
Phone (479) 785-3277

Other identifiers 1

IdentifierTypeStateIssuer
123792720MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001383 AR Practitioner - Qualified Audiologist 6709870892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Hearing, LTD.Group PAC ID 6002954278, 4 clinicians

Practice addresses (Care Compare)

7200 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone (479) 785-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A122ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hearing, LTD. CurrentSince Feb 27, 1998 Accepting new patients
Spinal Trauma Recovery Inc Past Accepting new patients

Locations

7200 Cameron Park Dr
Fort Smith, AR 72903
Phone (479) 785-3277

4300 Rogers Ave
Ste 42
Fort Smith, AR 72903
Phone (479) 785-3277

4300 Rogers Ave
Ste 15
Fort Smith, AR 72903
Phone (479) 783-0369

Organizations & group practices 2

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1255323002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE",
            "address_2": "SUITE 15",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033143",
            "telephone_number": "479-785-3277",
            "fax_number": "479-785-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE",
            "address_2": "SUITE 15",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033143",
            "telephone_number": "479-785-3277",
            "fax_number": "479-785-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON",
        "first_name": "KELLEY",
        "middle_name": "RENEE'",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123792720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.