Individual provider Active NPI

Kendra L. Marasco, NYSLIC. SLP,AUDIOLOG

  • Audiologist-Hearing Aid Fitter
  • Fairport, NY
National Provider Identifier
1467574053
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
000303-1 Issued in NY
Practice address
6800 Pittsford Palmyra Rd
Suite 320
Fairport, NY 14450-3584
Phone
(585) 223-5090
Fax
(585) 425-1785
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 000303-1 NY
Assistive Technology Supplier Audiologist 231HA2500X 000303-1 NY
Audiologist 231H00000X 000303-1 NY
Speech-Language Pathologist 235Z00000X 1751-1 NY
Audiologist-Hearing Aid Fitter 237600000X 000303-1 NY Primary

Addresses

Primary practice location

6800 Pittsford Palmyra Rd
Suite 320
Fairport, NY 14450-3584

Mailing address

6800 Pittsford Palmyra Rd
Suite 320
Fairport, NY 14450-3584
Phone (585) 223-5090

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

State licenses

LicenseStateTypeSpecialty
000303-1NYMDAudiologist
1751-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Center for Hearing and Speech Audiologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467574053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 320",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-5090",
            "fax_number": "585-425-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 320",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-5090",
            "fax_number": "585-425-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASCO",
        "first_name": "KENDRA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "NYSLIC. SLP,AUDIOLOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "000303-1",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "000303-1",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000303-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1751-1",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "000303-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.