Active NPI
Kelly Jean Halterman, AU.D.
- Audiologist
- Peoria, AZ
National Provider Identifier
1750645073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA7844
- Practice address
- 8877 W Union Hills Dr Ste 350
Peoria, AZ 85382-3026 - Phone
- (623) 428-0727
- Fax
- (623) 738-3918
- NPI assigned
- Jul 2, 2012
- 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 | DA7844 | AZ | Primary |
Addresses
Primary practice location
8877 W Union Hills Dr Ste 350
Peoria, AZ 85382-3026
Mailing address
22425 N 96TH LN
Peoria, AZ 85383-4194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8877 W Union Hills Dr BLDG C
Suite B350
Peoria, AZ 85382-3008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA7844 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Hearcare Network, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Glendale, AZ
- NPI 1518947829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1750645073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22425 N 96TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853834194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8877 W UNION HILLS DR STE 350",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823026",
"telephone_number": "623-428-0727",
"fax_number": "623-738-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALTERMAN",
"first_name": "KELLY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA7844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.