Individual provider Active NPI

Stephanie A Keller, HIS

  • Hearing Instrument Specialist
  • Saint Louis, MO
National Provider Identifier
1619646460
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
20021033554 Issued in MO
Practice address
9997 Manchester Rd
Saint Louis, MO 63122-1927
Phone
(314) 821-2230
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 20021033554 MO Primary

Addresses

Primary practice location

9997 Manchester Rd
Saint Louis, MO 63122-1927

Mailing address

615 N Main St
O Fallon, IL 62269-3704
Phone (618) 624-4471

Other practice location 1

12595 Olive Blvd Ste A
Creve Coeur, MO 63141-6311
Phone (314) 384-5051

Other names 1

  • Ms. Stephanie A Hamilton Former name

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
20021033554MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hearing Inc Hearing Instrument Specialist CurrentSince Sep 12, 2021 Accepting new patients

Locations

615 N Main St
O Fallon, IL 62269

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1619646460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693704",
            "telephone_number": "618-624-4471",
            "fax_number": "618-215-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9997 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221927",
            "telephone_number": "314-821-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12595 Olive Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631416311",
            "country_code": "US",
            "telephone_number": "314-384-5051",
            "fax_number": "314-384-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "20021033554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HAMILTON",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.