Katie Ann Kelley, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001641 Issued in VA

Practice address

6355 Walker LN Ste 411
Alexandria, VA 22310-3250

Phone

(703) 922-4262

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Katie Ann Ruggiero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891214474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MASON RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662318",
            "telephone_number": "443-496-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 411",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103250",
            "telephone_number": "703-922-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2616 Sherwood Hall Ln Ste 408",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063154",
            "country_code": "US",
            "telephone_number": "703-780-7019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "RUGGIERO",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janna J Kelleher, MD
• Lisa Kelleher, PLPC
• Finnegan Keller
• Leslie Keller
• Amanda Kelley, OTR/L
• Lydia Kelley, RBT
• Kelly Cove Inc
• Caitlin Kelly, CPNP
• Claire Kelly, OTR/L
• Kathleen P Kelly, MD

• Audiologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.