Individual provider Active NPI

Kelsey Thomas, AU.D.

  • Audiologist
  • Orlando, FL
National Provider Identifier
1407206519
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2048 Issued in FL
Practice address
1460 Lake Baldwin LN
Ste. a
Orlando, FL 32814-6684
Phone
(407) 898-2220
Fax
(877) 769-2047
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2048 FL Primary

Addresses

Primary practice location

1460 Lake Baldwin LN
Ste. a
Orlando, FL 32814-6684

Mailing address

1460 Lake Baldwin LN
Ste. a
Orlando, FL 32814-6684
Phone (407) 898-2220

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

LicenseStateTypeSpecialty
AY2048FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1407206519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 LAKE BALDWIN LN",
            "address_2": "STE. A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146684",
            "telephone_number": "407-898-2220",
            "fax_number": "877-769-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 LAKE BALDWIN LN",
            "address_2": "STE. A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146684",
            "telephone_number": "407-898-2220",
            "fax_number": "877-769-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.