Individual provider Active NPI

Katelyn Elise Murphy, AUD

  • Audiologist
  • Lakeville, NY
National Provider Identifier
1851998405
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002993 Issued in NY
Practice address
3513 Thomas Dr Ste 2
Lakeville, NY 14480-9759
Phone
(585) 243-7690
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002993 NY Primary

Addresses

Primary practice location

3513 Thomas Dr Ste 2
Lakeville, NY 14480-9759

Mailing address

916 Plank Rd
Penfield, NY 14526-9738
Phone (585) 507-8022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023002968 ME Practitioner - Qualified Audiologist 0941733323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
State University of New York at Buffalo School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Waterville Audiology PCGroup PAC ID 9234460064, 3 clinicians

Practice addresses (Care Compare)

105 Kennedy Memorial Dr
Waterville, ME 04901-5131
Phone (207) 872-0320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002993NYMDDance Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waterville Audiology PC Audiologist CurrentSince Oct 16, 2024 Accepting new patients
Southside Hearing Center, LLC Audiologist CurrentSince Oct 11, 2020 Accepting new patients

Locations

105 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 577-3310

3513 Thomas Dr
Ste 2
Lakeville, NY 14480
Phone (585) 243-7690

Organizations & group practices 3

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1851998405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 PLANK RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269738",
            "telephone_number": "585-507-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 THOMAS DR STE 2",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809759",
            "telephone_number": "585-243-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KATELYN",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.