Active NPI
Kelly Erin Cavanaugh
- Audiologist
- Albany, NY
National Provider Identifier
1740705326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002750
- Practice address
- 6 Executive Park Dr
Albany, NY 12203-3791 - Phone
- (518) 482-9111
- NPI assigned
- Aug 4, 2017
- 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 | 002750 | NY | Primary |
Addresses
Primary practice location
6 Executive Park Dr
Albany, NY 12203-3791
Mailing address
6 Executive Park Dr
Albany, NY 12203-3791
Other practice location 1
2001 5th Ave
Troy, NY 12180-3482
Phone (518) 274-4110
Other practice location 2
963 Route 146
Clifton Park, NY 12065-3636
Phone (518) 383-0065
Other practice location 3
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 475-7071
Other practice location 4
1240 New Scotland Rd
Slingerlands, NY 12159-9221
Phone (518) 475-7075
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740705326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EXECUTIVE PARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 EXECUTIVE PARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033791",
"telephone_number": "518-482-9111"
}
],
"practiceLocations": [
{
"address_1": "2001 5th Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121803482",
"country_code": "US",
"telephone_number": "518-274-4110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "963 Route 146",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120653636",
"country_code": "US",
"telephone_number": "518-383-0065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 S Manning Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081707",
"country_code": "US",
"telephone_number": "518-475-7071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1240 New Scotland Rd",
"address_purpose": "LOCATION",
"city": "Slingerlands",
"state": "NY",
"postal_code": "121599221",
"country_code": "US",
"telephone_number": "518-475-7075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "KELLY",
"middle_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.