Individual provider Active NPI

Kathleen Louise Vellody, MA, CCC-A

  • Audiologist
  • Pittsburgh, PA
National Provider Identifier
1396575700
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006007 Issued in PA
Practice address
4200 5TH Ave
Pittsburgh, PA 15260-0001
Phone
(412) 383-0780
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006007 PA Primary

Addresses

Primary practice location

4200 5TH Ave
Pittsburgh, PA 15260-0001

Mailing address

413 Farrington Dr
Seven Fields, PA 16046-4211
Phone (724) 860-8380

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AT006007PAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1396575700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 FARRINGTON DR",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160464211",
            "telephone_number": "724-860-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152600001",
            "telephone_number": "412-383-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLODY",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.