Active NPI
Kerri Lynne McIntosh, M.S.CCC/A
- Audiologist
- Babylon, NY
National Provider Identifier
1366488637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002038
- Practice address
- 20 Argyle SQ
Babylon, NY 11702-2712 - Phone
- (631) 661-5111
- Fax
- (631) 661-1959
- NPI assigned
- Jun 22, 2006
- 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 | 002038 | NY | Primary |
| Hearing Instrument Specialist | 237700000X | 14000020174 | NY |
Addresses
Primary practice location
20 Argyle SQ
Babylon, NY 11702-2712
Mailing address
20 Argyle Square
Babylon, NY 11702
Phone (631) 661-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002038-1 | Other | NY | REGISTRATION CERTIFICATE |
| 14000020174 | Other | NY | REGISTRATION CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14000020174 | NY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peconic Ear Nose Throat & Facial Plastic Surgery, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Aquebogue, NY
- NPI 1841483633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1366488637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ARGYLE SQUARE",
"city": "BABYLON",
"state": "NY",
"postal_code": "11702",
"telephone_number": "631-661-5111",
"fax_number": "631-661-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ARGYLE SQ",
"city": "BABYLON",
"state": "NY",
"postal_code": "117022712",
"telephone_number": "631-661-5111",
"fax_number": "631-661-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "KERRI",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "M.S.CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002038",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000020174",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION CERTIFICATE",
"identifier": "002038-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION CERTIFICATE",
"identifier": "14000020174",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.