Organization Active NPI

Erie Audiology Inc

  • Audiologist
  • Erie, PA
National Provider Identifier
1699736769
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000382L Issued in PA
Legal business name
ERIE AUDIOLOGY INC
Practice address
2550 W 8TH Street
Erie, PA 16505-4432
Phone
(814) 833-9533
Fax
(814) 833-1621
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Authorized official

Name
Ms. Allison Faye Keenan, AU.D. FAAANPI 1053407312
Title
President Audiologist
Phone
(816) 833-9533

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AT000382L PA Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AT000161L PA

Addresses

Primary practice location

2550 W 8TH Street
Erie, PA 16505-4432

Mailing address

2550 W 8TH Street
Erie, PA 16505-4432
Phone (814) 833-9533

Other identifiers 1

IdentifierTypeStateIssuer
135053OtherPABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526001247 PA Part B Supplier - Clinic/Group Practice 8325029200 Receives reassigned benefits from 2 practitioners
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

2616 W 8th St
Erie, PA 16505
Phone (814) 833-9533

2550 W 8th St
Erie, PA 16505
Phone (814) 833-9533

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1699736769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W 8TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054432",
            "telephone_number": "814-833-9533",
            "fax_number": "814-833-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W 8TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054432",
            "telephone_number": "814-833-9533",
            "fax_number": "814-833-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT AUDIOLOGIST",
        "authorized_official_telephone_number": "816-833-9533",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AU.D. FAAA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000382L",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000161L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "135053",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.

Verify at the official NPI Registry.