Active NPI
Theresa Kinney, AUD, CCC/A
- Audiologist
- Dublin, OH
National Provider Identifier
1629050182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01105
- Practice address
- 5689 Grantham LN
Dublin, OH 43016-3260 - Phone
- (440) 241-8853
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01105 | OH | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 01105 | OH |
Addresses
Primary practice location
5689 Grantham LN
Dublin, OH 43016-3260
Mailing address
5689 Grantham LN
Dublin, OH 43016-3260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01105 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431734400000",
"number": "1629050182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5689 GRANTHAM LN",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5689 GRANTHAM LN",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163260",
"telephone_number": "440-241-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "THERESA",
"credential": "AUD, CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2015-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "01105",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "01105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.