Julie L Kelly, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2309 Issued in CA

Practice address

1930 Myrtle Ave Ste a
Eureka, CA 95501-1406

Phone

(707) 443-4503

Fax

(707) 443-7672

NPI assigned

Aug 3, 2005

Reactivated

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Coast Audiology. Inc.

  • Audiologist
  • Eureka, CA
  • NPI 1235463498
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1841291549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011406",
            "telephone_number": "707-443-4503",
            "fax_number": "707-443-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MYRTLE AVE STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011406",
            "telephone_number": "707-443-4503",
            "fax_number": "707-443-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2018-03-07",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA5064",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0023090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Kelly
• Casey Kelly, PA
• Douglas A Kelly, MD
• Gabrielle Kelly, LCSW
• Hollyn Elizabeth Kelly
• Brian Edward Kelsey Jr.
• John Kelsey, M.D.
• Elizabeth Janet Kemper, LCSW
• Amy Kempton
• Kenneth S Singleton DDS

• Audiologist in Eureka, CA
• Providers in Eureka, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.