Individual provider Active NPI

Kelley L Rohrer, AU.D.

  • Audiologist
  • Manchester Center, VT
National Provider Identifier
1467886044
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
145.0114343 Issued in VT
Practice address
5420 Main St
Manchester Center, VT 05255-9481
Phone
(802) 366-8020
NPI assigned
Aug 30, 2013
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 145.0114343 VT Primary

Addresses

Primary practice location

5420 Main St
Manchester Center, VT 05255-9481

Mailing address

5420 Main St
Manchester Center, VT 05255-9481
Phone (802) 336-8020

Other names 1

  • Kelley L Holland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140701002105 VT Practitioner - Qualified Audiologist 4385869577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Vermont Audiology IncGroup PAC ID 8123272028, 2 clinicians

Practice addresses (Care Compare)

5420 Main St
Manchester Center, VT 05255-8414
Phone (802) 366-8020

Merit-based Incentive Payment System (MIPS)

Final score
85.64 of 100Reported as group
Quality
64.81
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145.0114343VTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Vermont Audiology, Inc. Audiologist CurrentSince Jan 1, 2024 Accepting new patients

Locations

5420 Main St
Manchestr Ctr, VT 05255
Phone (802) 366-8020

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1467886044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559481",
            "telephone_number": "802-336-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559481",
            "telephone_number": "802-366-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRER",
        "first_name": "KELLEY",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VT",
            "license": "145.0114343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "HOLLAND",
            "middle_name": "L",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.