Individual provider Active NPI

Kairn Stetler Kelley, PHD, MS/CCC-A

  • Audiologist
  • Montpelier, VT
National Provider Identifier
1821100470
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1 Allen Row
Montpelier, VT 05602-3753
Phone
(802) 338-5912
NPI assigned
Aug 31, 2006
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 VT Primary

Addresses

Primary practice location

1 Allen Row
Montpelier, VT 05602-3753

Mailing address

1 Allen Row
Montpelier, VT 05602-3753
Phone (802) 223-8150

Other practice location 1

130 Fisher Rd Ste 1-B
Berlin, VT 05602-9516
Phone (802) 225-7017

Other names 1

  • Dr. Rocky Kairn Kelley Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000956 VT Practitioner - Qualified Audiologist 5597759456 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Sep 17, 2020 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Feb 3, 2004 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Sep 17, 2020 Accepting new patients
Vermont Audiology, Inc. Audiologist CurrentSince Nov 3, 2024 Accepting new patients

Locations

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

130 Fisher Rd
Ste 1B
Berlin, VT 05602
Phone (802) 225-7017

130 Fisher Rd
Ste 3-1
Berlin, VT 05602
Phone (802) 225-7000

130 Fisher Rd
Ste 31
Berlin, VT 05602
Phone (802) 225-7000

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

81 River St
Ste 103
Montpelier, VT 05602
Phone (802) 229-5868

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1821100470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALLEN ROW",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023753",
            "telephone_number": "802-223-8150",
            "fax_number": "802-225-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALLEN ROW",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023753",
            "telephone_number": "802-338-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fisher Rd Ste 1-B",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029516",
            "country_code": "US",
            "telephone_number": "802-225-7017",
            "fax_number": "802-225-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KAIRN",
        "middle_name": "STETLER",
        "name_prefix": "Dr.",
        "credential": "PHD, MS/CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCKY",
            "last_name": "KELLEY",
            "middle_name": "KAIRN",
            "prefix": "DR.",
            "credential": "PHD, MS/CCC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.