Active NPI
Ann Carney McMahon, AUD
- Audiologist
- Storrs, CT
National Provider Identifier
1326199670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 192
- Practice address
- 2 Alethia Dr # U-1085
Storrs, CT 06269-1085 - Phone
- (860) 486-2629
- Fax
- (860) 486-4948
- NPI assigned
- Jan 15, 2007
- 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-Hearing Aid Fitter | 237600000X | 192 | CT | |
| Audiologist | 231H00000X | 192 | CT | Primary |
Addresses
Primary practice location
2 Alethia Dr # U-1085
Storrs, CT 06269-1085
Mailing address
2 Alethia Dr # U-1085
Storrs, CT 06269-1085
Phone (860) 486-2629
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206715 | Other | CT | WELLCARE |
| 4067674 | Medicaid | CT | |
| 4082343 | Medicaid | CT | |
| 3058249 | Other | CT | AETNA |
| 7586386 | Other | CT | AETNA |
| 11092 | Other | CT | CONNECTICARE |
| 206715 | Other | CT | PREFERRED ONE |
| 730000192CT01 | Other | CT | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000192 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Better Hearing, LLC | Audiologist | Current | Accepting new patients |
| University of Connecticut | Audiologist | Current | Accepting new patients |
| University of Connecticut Student Health and Wellness | Past | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
160 West St
Ste B
Cromwell, CT 06416
Phone (860) 632-5003
2 Alethia Dr
#U1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Cromwell, CT
- NPI 1861604506
-
dba University of Connecticut Speech & Hearing Clinic
- Audiologist
- Storrs, CT
- NPI 1114011830
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
-
- Student Health Clinic/Center
- Storrs Mansfield, CT
- NPI 1629097043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1326199670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ALETHIA DR # U-1085",
"city": "STORRS",
"state": "CT",
"postal_code": "062691085",
"telephone_number": "860-486-2629",
"fax_number": "860-486-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ALETHIA DR # U-1085",
"city": "STORRS",
"state": "CT",
"postal_code": "062691085",
"telephone_number": "860-486-2629",
"fax_number": "860-486-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "ANN",
"middle_name": "CARNEY",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "192",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "206715",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4067674",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4082343",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3058249",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7586386",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "11092",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "206715",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "730000192CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Storrs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.