Active NPI
Knisely Aud, LLC
Doing business as Knisely Audiology Services
- Audiologist-Hearing Aid Fitter
- Everett, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- KNISELY AUD, LLC
- Doing business as
- Knisely Audiology Services
- Practice address
- 202 Memorial Dr Ste 3
Everett, PA 15537-7057 - Phone
- (814) 623-5007
- NPI assigned
- Dec 15, 2020
- Last updated
- Dec 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tessa A Knisely, AUD
- Title
- Owner/Audiologist
- Phone
- (814) 937-3485
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NU | Primary |
Addresses
Primary practice location
202 Memorial Dr Ste 3
Everett, PA 15537-7057
Mailing address
187 Slate Dr
East Freedom, PA 16637-8945
Phone (814) 937-3485
Other practice location 1
800 S Logan Blvd Ste 3100
Hollidaysburg, PA 16648-3050
Phone (814) 946-5151
Other practice location 2
214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034157180001 | Medicaid | PA |
Other names 1
- Knisely Audiology Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 Memorial Dr
Ste 3
Everett, PA 15537
Phone (814) 623-5007
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist
- Everett, PA
- NPI 1588180160
-
- Audiologist
- Hollidaysburg, PA
- NPI 1316796121
-
- Audiologist
- Philadelphia, PA
- NPI 1871035667
-
- Audiologist
- Altoona, PA
- NPI 1487132882
-
- Audiologist
- Demorest, GA
- NPI 1164477899
-
- Audiologist
- Lewistown, PA
- NPI 1114971884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607990400000",
"number": "1689260507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 SLATE DR",
"city": "EAST FREEDOM",
"state": "PA",
"postal_code": "166378945",
"telephone_number": "814-937-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 MEMORIAL DR STE 3",
"city": "EVERETT",
"state": "PA",
"postal_code": "155377057",
"telephone_number": "814-623-5007"
}
],
"practiceLocations": [
{
"address_1": "800 S Logan Blvd Ste 3100",
"address_purpose": "LOCATION",
"city": "Hollidaysburg",
"state": "PA",
"postal_code": "166483050",
"country_code": "US",
"telephone_number": "814-946-5151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Peach Orchard Rd",
"address_purpose": "LOCATION",
"city": "Mc Connellsburg",
"state": "PA",
"postal_code": "172338559",
"country_code": "US",
"telephone_number": "717-485-6110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KNISELY AUD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A",
"authorized_official_last_name": "KNISELY",
"authorized_official_first_name": "TESSA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
"authorized_official_telephone_number": "814-937-3485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1034157180001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "202 Memorial Dr Ste 3",
"city": "Everett",
"state": "PA",
"country_code": "US",
"postal_code": "155377057",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Knisely Audiology Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.