Individual provider Active NPI

Keith P Walsh, AUD

  • Audiologist
  • Shelburne, VT
National Provider Identifier
1841417607
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000685-01 Issued in NY
Practice address
10 Marsett Rd Ste 3
Shelburne, VT 05482
Phone
(802) 922-9545
Fax
(802) 922-9546
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 14000079016 NY
Audiologist 231H00000X 000685-01 NY Primary
Audiologist 231H00000X 145.0117582 VT

Addresses

Primary practice location

10 Marsett Rd Ste 3
Shelburne, VT 05482

Mailing address

10 Marsett Rd Ste 3
Shelburne, VT 05482-7150
Phone (802) 922-9545

Other practice location 1

6791 US Highway 11
Potsdam, NY 13676-3132
Phone (315) 276-3484

Other practice location 2

28 Cornelia Ct Unit 101
Milton, VT 05468-4643
Phone (802) 787-1594

Other practice location 3

11 Hammond Ln Ste C
Plattsburgh, NY 12901-2003
Phone (518) 562-0054

Other practice location 4

144 Broadway Ste 1
Saranac Lake, NY 12983-1486
Phone (518) 891-0487

Other identifiers 1

IdentifierTypeStateIssuer
001510201OtherVTMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100428000048 VT Practitioner - Qualified Audiologist 1557498342 Reassigns benefits to 1 organization
I20120203000001 NY Practitioner - Qualified Audiologist 1557498342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Audiology Associates PCGroup PAC ID 2860714110, 5 clinicians

Practice addresses (Care Compare)

10 Marsett Rd
Shelburne, VT 05482-7150
Phone (802) 922-9545

144 Broadway
Suite 1
Saranac Lake, NY 12983-1486
Phone (518) 891-0487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000685NYMDObesity and Weight Management Nutrition Registered Dietitian
000685-01NYMDAudiologist
14000079016NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Audiology Associates, PC Audiologist CurrentSince Jan 1, 2000 Accepting new patients

Locations

11 Hammond Ln
Plattsburgh, NY 12901
Phone (518) 562-0054

11 Hammond Ln
Ste C
Plattsburgh, NY 12901
Phone (518) 562-0054

6439 State Highway 56
Potsdam, NY 13676
Phone (315) 276-3484

6791 US Highway 11
Potsdam, NY 13676
Phone (315) 276-3484

144 Broadway
Ste 1
Saranac Lake, NY 12983
Phone (518) 891-0487

10 Marsett Rd
Ste 3
Shelburne, VT 05482
Phone (802) 448-2138

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1841417607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARSETT RD STE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827150",
            "telephone_number": "802-922-9545",
            "fax_number": "802-922-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARSETT RD STE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-922-9545",
            "fax_number": "802-922-9546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6791 US Highway 11",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136763132",
            "country_code": "US",
            "telephone_number": "315-276-3484",
            "fax_number": "315-276-3485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Cornelia Ct Unit 101",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "VT",
            "postal_code": "054684643",
            "country_code": "US",
            "telephone_number": "802-787-1594",
            "fax_number": "802-466-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Hammond Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012003",
            "country_code": "US",
            "telephone_number": "518-562-0054",
            "fax_number": "518-563-5518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Broadway Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saranac Lake",
            "state": "NY",
            "postal_code": "129831486",
            "country_code": "US",
            "telephone_number": "518-891-0487",
            "fax_number": "518-891-6718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KEITH",
        "middle_name": "P",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000079016",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000685-01",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VT",
            "license": "145.0117582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "001510201",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.