Individual provider Active NPI

Kelsey Heather Beck, AUD

  • Audiologist
  • Phoenix, AZ
National Provider Identifier
1831874551
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA14579 Issued in AZ
Practice address
4045 E Union Hills Dr Ste D128
Phoenix, AZ 85050-3388
Phone
(602) 877-0000
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA14579 AZ Primary

Addresses

Primary practice location

4045 E Union Hills Dr Ste D128
Phoenix, AZ 85050-3388

Mailing address

4045 E Union Hills Dr Ste D128
Phoenix, AZ 85050-3388
Phone (602) 877-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830003069 AZ Practitioner - Qualified Audiologist 1658734181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applied Hearing Solutions, LLCGroup PAC ID 6507142585, 3 clinicians

Practice addresses (Care Compare)

4045 E Union Hills Dr
Suite D128
Phoenix, AZ 85050-3388
Phone (602) 877-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA14579AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Hearing Solutions LLC CurrentSince Jul 11, 2023 Accepting new patients

Locations

4045 E Union Hills Dr
Ste D128
Phoenix, AZ 85050
Phone (602) 877-0000

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, 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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1831874551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE D128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-877-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE D128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-877-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "KELSEY",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA14579",
            "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 Jun 20, 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.

Verify at the official NPI Registry.