Individual provider Active NPI

Kelli M. Watts, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Auburn University, AL
National Provider Identifier
1497908297
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1031A Issued in AL
Practice address
1199 Haley Ctr
Auburn University, AL 36849-5232
Phone
(334) 844-9600
Fax
(334) 844-9684
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1031A AL Primary

Addresses

Primary practice location

1199 Haley Ctr
Auburn University, AL 36849-5232

Mailing address

1199 Haley Ctr
Auburn University, AL 36849-5232
Phone (334) 844-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090216000104 AL Practitioner - Qualified Audiologist 3870658479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn UniversityGroup PAC ID 2365735750, 9 clinicians

Practice addresses (Care Compare)

1199 Haley Ctr
Auburn University, AL 36849-0001
Phone (334) 844-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn University CurrentSince May 18, 2016 Accepting new patients
Auburn University CurrentSince May 18, 2016 Accepting new patients
North Alabama ENT Associates Past Accepting new patients
North Alabama ENT Associates, P.C. Past Accepting new patients

Locations

1199 Haley Ctr
Auburn University, AL 36849
Phone (334) 844-9600

Organizations & group practices 4

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1497908297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 HALEY CTR",
            "city": "AUBURN UNIVERSITY",
            "state": "AL",
            "postal_code": "368495232",
            "telephone_number": "334-844-9600",
            "fax_number": "334-844-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HALEY CTR",
            "city": "AUBURN UNIVERSITY",
            "state": "AL",
            "postal_code": "368495232",
            "telephone_number": "334-844-9600",
            "fax_number": "334-844-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KELLI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "1031A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn University, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.