Individual provider Active NPI

Erica D Llewellyn, AUD

  • Audiologist
  • Ft Wright, KY
National Provider Identifier
1902223613
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1955 Dixie Hwy
Ft Wright, KY 41011-2792
Phone
(513) 421-5558
Fax
(513) 632-5804
NPI assigned
Mar 20, 2014
Last updated
May 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

1955 Dixie Hwy
Ft Wright, KY 41011-2792

Mailing address

237 William Howard Taft, Phys Div
2ND FL, Cbo2-3, Attn: Credentialing
Cincinnati, OH 45219-2610
Phone (513) 263-8571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140903001836 KY Practitioner - Qualified Audiologist 2961620976 Reassigns benefits to 1 organization
I20150806011106 OH Practitioner - Qualified Audiologist 2961620976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Ft Wright, KY 41011-2792
Phone (513) 721-7373

2123 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 381-6161

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0588KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC Audiologist CurrentSince Sep 7, 2015 Accepting new patients

Locations

6900 Houston Rd
Bldg 600
Florence, KY 41042

1955 Dixie Hwy
Ft Wright, KY 41011
Phone (513) 721-7373

2123 Auburn Ave
Cincinnati, OH 45219
Phone (513) 721-7373

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

237 William Howard Taft Rd
#002
Cincinnati, OH 45219
Phone (513) 263-8571

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1902223613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT, PHYS DIV",
            "address_2": "2ND FL, CBO2-3, ATTN: CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-263-8571",
            "fax_number": "513-366-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HWY",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112792",
            "telephone_number": "513-421-5558",
            "fax_number": "513-632-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "ERICA",
        "middle_name": "D",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.