Active NPI
Laura Jane Keech, AUD
- Audiologist
- Portland, ME
National Provider Identifier
1891368635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AP3516
- Practice address
- 75 W Commercial St Ste 205
Portland, ME 04101-4799 - Phone
- (207) 874-1065
- Fax
- (207) 874-1068
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AP3516 | ME | Primary |
Addresses
Primary practice location
75 W Commercial St Ste 205
Portland, ME 04101-4799
Mailing address
75 W Commercial St Ste 205
Portland, ME 04101-4799
Phone (207) 874-1065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 W Commercial St
Suite 205
Portland, ME 04101-4799
Phone (207) 874-1065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3516 | ME | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Hearing and Speech Center, Inc. | Audiologist | Current | Accepting new patients |
Locations
75 W Commercial St
Ste 205
Portland, ME 04101
Phone (207) 874-1065
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.
-
- Audiologist
- Portland, ME
- NPI 1457559452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1891368635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 W COMMERCIAL ST STE 205",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014799",
"telephone_number": "207-874-1065",
"fax_number": "207-874-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 W COMMERCIAL ST STE 205",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014799",
"telephone_number": "207-874-1065",
"fax_number": "207-874-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEECH",
"first_name": "LAURA",
"middle_name": "JANE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ME",
"license": "AP3516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.