Kelly Lynn Chastain-McDowell, MA CCC A

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

3525 Mitchell Rd Ste B
Bedford, IN 47421-5558

Phone

(812) 275-4479

Fax

(812) 275-4495

NPI assigned

Feb 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Advanced Audiology & Hearing Care, LLC

  • Hearing and Speech Clinic/Center
  • Bedford, IN
  • NPI 1750532719

  Audiologist, IN

  Medicare reassignment NPD
• Hearing Center Inc

  • Audiologist-Hearing Aid Fitter
  • Carmel, IN
  • NPI 1841320256
  NPD (past)
• Hearing Center, Inc.

  • Hearing Aid Equipment
  • Bedford, IN
  • NPI 1376673798

  Audiologist

  NPD (past)
• Hearing Center, Inc.

  • Hearing Aid Equipment
  • Naperville, IL
  • NPI 1902835812

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1467428110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 MITCHELL RD STE B",
            "address_2": "PO BOX 125",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215558",
            "telephone_number": "812-275-4479",
            "fax_number": "812-275-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 MITCHELL RD STE B",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215558",
            "telephone_number": "812-275-4479",
            "fax_number": "812-275-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN-MCDOWELL",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23002103A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan L Burk, LCSW
• Emily Breanne Byford
• Gregory Clarence Cassidy, PA-C
• Hoon Chae
• Wyncel Joy Chan, MD
• Margaret Chastain
• Vickie Lynn Cheek, NP-C
• Geneva Clark, RBT
• Penny Jo Clark, PT
• Kathleen Lynn Collier, OMT

• All providers in Bedford, IN
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.