Individual provider Active NPI

Kathleen McMahon, M.S., CCC-A

  • Audiologist
  • Chesapeake, VA
National Provider Identifier
1386690196
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001266 Issued in VA
Practice address
200 Medical Pkwy
Suite 303
Chesapeake, VA 23320-4911
Phone
(757) 547-9714
Fax
(757) 547-0725
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001266 VA Primary

Addresses

Primary practice location

200 Medical Pkwy
Suite 303
Chesapeake, VA 23320-4911

Mailing address

200 Medical Pkwy
Suite 303
Chesapeake, VA 23320-4911
Phone (757) 547-9714

Other names 1

  • Kathleen Stancliff Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2201001266VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diablo Valley ENT - a Medical Corporation CurrentSince Aug 3, 2012 Accepting new patients
Chesapeake Ear, Nose & Throat Associates, P.C. Past Accepting new patients

Locations

2305 Camino Ramon
Ste 200
San Ramon, CA 94583
Phone (925) 242-0647

1776 Ygnacio Valley Rd
Ste 210
Walnut Creek, CA 94598
Phone (925) 933-8462

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386690196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY",
            "address_2": "SUITE 303",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204911",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY",
            "address_2": "SUITE 303",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204911",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KATHLEEN",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "STANCLIFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.