Active NPI
Allison Grace Keller, HIS
- Hearing Instrument Specialist
- Waxhaw, NC
National Provider Identifier
1417735713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1666
- Practice address
- 318 E South Main St Ste H
Waxhaw, NC 28173-9912 - Phone
- (704) 256-1634
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1666 | NC | Primary |
Addresses
Primary practice location
318 E South Main St Ste H
Waxhaw, NC 28173-9912
Mailing address
318 E South Main St Ste H
Waxhaw, NC 28173-9912
Phone (704) 256-1634
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Atlantic Hearing LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1417735713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 E SOUTH MAIN ST STE H",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281739912",
"telephone_number": "704-256-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E SOUTH MAIN ST STE H",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281739912",
"telephone_number": "704-256-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ALLISON",
"middle_name": "GRACE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
- K. Jasinski, D.M.D., P.C. (Dental Care at Meadow Ridge)
- K. Jasinski, D.M.D., P.C. (Woodside View Dental Care)
- Kakouras Family Counseling, PLLC
- Anna Nicole Kantsios, LMFT
- Elizabeth Weaver Karpiel, MSP, CCC-SLP
- Kristin Danielle Keller
- Kendall Ann Kennedy, DPT
- Elena Keretses, SCAT, ATC, EMTB
- Karen Terese Kewak, LPCA, NCC
- Richard Khang, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.