Kelley Ann Powers, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

LD00002125 Issued in WA

Practice address

128 Lilly Rd NE
Suite #202
Olympia, WA 98506-7400

Phone

(360) 357-6314

Fax

(360) 705-3745

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1346360484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 LOOKOUT DR NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985029713",
            "telephone_number": "360-330-8944",
            "fax_number": "360-330-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE #202",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985067400",
            "telephone_number": "360-357-6314",
            "fax_number": "360-705-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00002125",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "WA",
            "license": "LD00002125",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00002125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058397",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107295",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiong Hian Pouw, MD
• John Bradford Powell, PH.D.
• Kristine Rae Vandermark Powell, PSYD
• Morgan Vanessa Powell
• Susan Lisker Powell, MD
• Mary Leann Powers, B.A., L.M.P., SOMA
• Tracie Michelle Powney, OTRL, LMHC, LMFTA
• Aubrey Marie Prahl
• Emily Prasil
• Alice Pratoff

• Audiologist-Hearing Aid Fitter in Olympia, WA
• Providers in Olympia, WA by specialty
• Audiologist-Hearing Aid Fitter in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.