Individual provider Active NPI

Megan Elizabeth Terry Kelly, M.S.,CCC/A

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1922337161
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2005018224 Issued in MO
Practice address
10097 Manchester Rd
Suite 102a
Saint Louis, MO 63122-1828
Phone
(314) 394-1911
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2005018224 MO Primary

Addresses

Primary practice location

10097 Manchester Rd
Suite 102a
Saint Louis, MO 63122-1828

Mailing address

10097 Manchester Rd
Suite 102a
Saint Louis, MO 63122-1828
Phone (314) 394-1911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000113 MO Practitioner - Qualified Audiologist 7911181342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Or Monitoring Consultants IncGroup PAC ID 8123162153, 4 clinicians

Practice addresses (Care Compare)

1000 Lake Saint Louis Blvd
Suite 115
Lake St Louis, MO 63367-2923
Phone (314) 394-1911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2005018224MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Consultants, LLC Audiologist PastSince Sep 25, 2019 Accepting new patients
Midwest ENT Centre, PC PastSince Jan 1, 2002 Accepting new patients
Hearing Consultants Audiologist Past Accepting new patients

Organizations & group practices 4

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1922337161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER RD",
            "address_2": "SUITE 102A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221828",
            "telephone_number": "314-394-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER RD",
            "address_2": "SUITE 102A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221828",
            "telephone_number": "314-394-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY KELLY",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2005018224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.