Kelly Gaines Johnson, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80077 Issued in TX

Practice address

2828 W University Blvd
Suite 114
Durant, OK 74701-3090

Phone

(580) 745-5171

Fax

(580) 745-5173

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Texas Tech University Health Science Center School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Better Hearing Associates

  • Audiologist-Hearing Aid Fitter
  • Durant, OK
  • NPI 1790041705
  Medicare reassignment NPD Authorized official
• Better Hearing Associates

  • Audiologist
  • Sherman, TX
  • NPI 1023437662
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1326318437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N LOY LAKE RD",
            "address_2": "SUITE H",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902839",
            "telephone_number": "903-482-4018",
            "fax_number": "903-482-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 W UNIVERSITY BLVD",
            "address_2": "SUITE 114",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013090",
            "telephone_number": "580-745-5171",
            "fax_number": "580-745-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "GAINES",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80077",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Jennings, PA-C
• Olen Lynn Jestis II, D.O.
• Amanda Beth Johnson
• Bryan L Johnson, O.D.
• David Johnson
• Larita Marlene Johnson, BA
• Lena D Johnson
• Rebecca Ann Johnson, B.S.
• Sandi Johnson
• Lorie D Johnston, LPN

• Audiologist in Durant, OK
• Providers in Durant, OK by specialty
• Audiologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.