Active NPI
Kelly Kiley Knighten, AU.D., CCC-A
- Audiologist
- Valley Park, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2014036556
- Practice address
- 912 Meramec Station Rd Ste F
Valley Park, MO 63088-2045 - Phone
- (636) 825-9999
- NPI assigned
- Jun 17, 2008
- Last updated
- May 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2014036556 | MO | Primary |
Addresses
Primary practice location
912 Meramec Station Rd Ste F
Valley Park, MO 63088-2045
Mailing address
912 Meramec Station Rd Ste F
Valley Park, MO 63088-2045
Phone (636) 825-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
912 Meramec Station Rd
Suite F
Valley Park, MO 63088-2045
Phone (636) 825-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014036556 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Audiology Associates, LLC | Audiologist | Current | Accepting new patients |
| Audists, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
912 Meramec Station Rd
Ste F
Valley Park, MO 63088
Phone (618) 939-6861
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Valley Park, MO
- NPI 1134528375
-
dba Input Hearing Systems
- Audiologist-Hearing Aid Fitter
- Farmers Branch, TX
- NPI 1558489104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1710147343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 MERAMEC STATION RD STE F",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630882045",
"telephone_number": "636-825-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 MERAMEC STATION RD STE F",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630882045",
"telephone_number": "636-825-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHTEN",
"first_name": "KELLY",
"middle_name": "KILEY",
"name_prefix": "Ms.",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2014036556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Park, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.