Active NPI
Kathleen McMahon, M.S., CCC-A
- Audiologist
- Chesapeake, VA
National Provider Identifier
1386690196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001266
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001266 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diablo Valley ENT - a Medical Corporation | Current | 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.
-
- Otolaryngology Physician
- Walnut Creek, CA
- NPI 1750329702
-
- Otolaryngology Physician
- Chesapeake, VA
- NPI 1982656088
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.