NPIMap

Organization Active NPI

Keystone Audiology, LLC

  • Hearing Aid Equipment
  • Warwick, RI
National Provider Identifier
1841662855
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
S00061063 Issued in RI
Legal business name
KEYSTONE AUDIOLOGY, LLC
Practice address
400 Bald Hill Rd
Suite 529
Warwick, RI 02886-1617
Phone
(401) 595-7318
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Mrs. Kristen Conley Rubin, AU.D.NPI 1619381514
Title
President
Phone
(401) 739-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X S00061063 RI Primary

Addresses

Primary practice location

400 Bald Hill Rd
Suite 529
Warwick, RI 02886-1617

Mailing address

400 Bald Hill Rd Ste 529
Warwick, RI 02886-6111
Phone (401) 739-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208000040 RI Part B Supplier - Clinic/Group Practice 1658671094 Receives reassigned benefits from 4 practitioners
Practice locations: Greenville, RI; Warwick, RI

National Provider Directory

National Provider Directory

Locations

604 Putnam Pike
Greenville, RI 02828
Phone (401) 739-4327

400 Bald Hill Rd
Ste 529
Warwick, RI 02886
Phone (401) 737-4115

400 Bald Hill Rd
#529
Warwick, RI 02886
Phone (401) 595-7318

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1841662855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 529",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028866111",
            "telephone_number": "401-739-4327",
            "fax_number": "401-736-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 529",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-595-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "CONLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-739-4327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "RI",
            "license": "S00061063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.