Individual provider Active NPI

Ann Carney McMahon, AUD

  • Audiologist
  • Storrs, CT
National Provider Identifier
1326199670
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
192 Issued in CT
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

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
206715OtherCTWELLCARE
4067674MedicaidCT
4082343MedicaidCT
3058249OtherCTAETNA
7586386OtherCTAETNA
11092OtherCTCONNECTICARE
206715OtherCTPREFERRED ONE
730000192CT01OtherCTANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000564 CT Practitioner - Qualified Audiologist 1850563149 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000192CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Better Hearing, LLC Audiologist CurrentSince Oct 21, 2002 Accepting new patients
University of Connecticut Audiologist CurrentSince May 1, 2022 Accepting new patients
University of Connecticut Student Health and Wellness PastSince May 1, 2022 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.

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.

Verify at the official NPI Registry.