Individual provider Active NPI

Karen G Maclennan, AUD TSHH

  • Audiologist
  • Miller Place, NY
National Provider Identifier
1619132909
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0015671 Issued in NY
Practice address
27 Manor Drive
Miller Place, NY 11764-1324
Phone
(516) 353-0066
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0015671 NY Primary
Hearing Instrument Specialist 237700000X 14000009506 NY

Addresses

Primary practice location

27 Manor Drive
Miller Place, NY 11764-1324

Mailing address

27 Manor Drive
Miller Place, NY 11764-1324
Phone (516) 353-0066

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0015671NYMDAudiologist
14000009506NYMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1619132909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MANOR DRIVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641324",
            "telephone_number": "516-353-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MANOR DRIVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641324",
            "telephone_number": "516-353-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLENNAN",
        "first_name": "KAREN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "AUD TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0015671",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000009506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.