Walter Kelly, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA 2450 Issued in CA

Practice address

701 Palomar Airport Rd Ste 300
Carlsbad, CA 92011-1028

Phone

(760) 434-4327

Fax

(858) 437-9924

NPI assigned

Jun 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hearing Experience

  • Hearing and Speech Clinic/Center
  • Mission Viejo, CA
  • NPI 1689213423

  Hearing Instrument Specialist

  NPD
• The Hearing Experience

  • Hearing Aid Equipment
  • Carlsbad, CA
  • NPI 1700282696
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1922328434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PALOMAR AIRPORT RD STE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111028",
            "telephone_number": "760-434-4327",
            "fax_number": "858-437-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PALOMAR AIRPORT RD STE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111028",
            "telephone_number": "760-434-4327",
            "fax_number": "858-437-9924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27001 La Paz Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926915524",
            "country_code": "US",
            "telephone_number": "949-770-4327",
            "fax_number": "858-437-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "WALTER",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "CAHA2450",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NV",
            "license": "HAS218",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 2450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kelley, PA
• Kaleigh Suzannah Kellner
• Jon P Kelly, M.D.
• Louise Kelly
• Morgan Marie Kelly
• Christine Gearen Kelso, MD, MPH
• Makiki Kemmochi, RDN
• Kendra Wilhelm LLC
• Ann Alicia Kennedy, NP-C
• Catrice Angel Nyterial Kennedy

• Hearing Instrument Specialist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.