Individual provider Active NPI

Kylie Delaney

  • Audiologist
  • Phoenix, AZ
National Provider Identifier
1700626256
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
4545 E Shea Blvd Ste 174
Phoenix, AZ 85028-3061
Phone
(602) 910-2860
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

4545 E Shea Blvd Ste 174
Phoenix, AZ 85028-3061

Mailing address

4545 E Shea Blvd Ste 174
Phoenix, AZ 85028-3061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240802003414 AZ Practitioner - Qualified Audiologist 1951848381 Reassigns benefits to 1 organization
I20251111001786 CA Practitioner - Qualified Audiologist 1951848381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly Bonney Aud IncGroup PAC ID 3870622061, 7 clinicians

Practice addresses (Care Compare)

1101 W Tokay St
Suite 4
Lodi, CA 95240-3842
Phone (209) 368-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4011CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Bonney Aud, Inc CurrentSince Aug 4, 2025 Accepting new patients
Affiliated Audiology Consultants, Inc. Audiologist CurrentSince Aug 1, 2024 Accepting new patients

Locations

4545 E Shea Blvd
Ste 174
Phoenix, AZ 85028
Phone (602) 254-6041

101 Margaret Ln
Ste C
Grass Valley, CA 95945
Phone (530) 272-2244

1101 W Tokay St
Ste 4
Lodi, CA 95240
Phone (209) 368-9222

601 University Ave
Ste 105
Sacramento, CA 95825
Phone (916) 927-9640

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1700626256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD STE 174",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD STE 174",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283061",
            "telephone_number": "602-910-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "KYLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.