Active NPI
Kelsey Aryne Dumanch, AU.D., CCC-A
- Audiologist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 724
- Practice address
- 9000 W Wisconsin Ave Ste B340
Milwaukee, WI 53226-4874 - Phone
- (414) 266-2934
- Fax
- (414) 266-6189
- NPI assigned
- May 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 9886 | MN | |
| Audiologist | 231H00000X | 724 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave Ste B340
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave Ste B340
Milwaukee, WI 53226-4874
Phone (414) 266-2934
Other practice location 1
345 Smith Ave N
Saint Paul, MN 55102-2346
Phone (952) 992-5691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265968192 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 9886 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Past | Accepting new patients | |
| Childrens Hospital of Wisconsin, Inc. | Past | Accepting new patients |
Locations
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1689852071
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1245308626
-
- Children's Hospital
- Saint Paul, MN
- NPI 1629161781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1265968192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE STE B340",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-2934",
"fax_number": "414-266-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE STE B340",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-2934",
"fax_number": "414-266-6189"
}
],
"practiceLocations": [
{
"address_1": "345 Smith Ave N",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022346",
"country_code": "US",
"telephone_number": "952-992-5691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUMANCH",
"first_name": "KELSEY",
"middle_name": "ARYNE",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "9886",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265968192",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.