Kelsey Elizabeth Mallabar, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

063.0113192 Issued in VT

Practice address

10 Marsett Rd Ste 3
Shelburne, VT 05482-7150

Phone

(802) 922-9545

NPI assigned

Nov 12, 2021

Last updated

Nov 12, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith@adirondakaudiology.com

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.

• Adirondack Audiology Associates Hearing and Balance Center LLC

  dba Adirondack Audiology Associates

  • Audiologist-Hearing Aid Fitter
  • Shelburne, VT
  • NPI 1952636854
  NPD
• Adirondack Audiology Associates, PC

  dba Adirondack Audiology Associates Hearing and Balance Center

  • Audiologist
  • Saranac Lake, NY
  • NPI 1841365467
  NPD

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1922764059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARSETT RD STE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827150",
            "telephone_number": "802-922-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARSETT RD STE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827150",
            "telephone_number": "802-922-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLABAR",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VT",
            "license": "063.0113192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Keith@adirondakaudiology.com",
            "affiliation": "N",
            "address_1": "10 Marsett Rd Ste 3",
            "city": "Shelburne",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054827150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• LW Care LLC (Live Well Home Care)
• Jill L. Lyons, OTR
• Megan Hope Mackinnon, RN
• Kerri Macon
• Alexandra Lin Macy, LCSW
• Maple Valley Mental Health
• Victoria A. Marini Bowley, PH.D.
• Seth Mason, DPT
• John Martin May
• Domenick Mazza, ND

• Hearing Instrument Specialist in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Hearing Instrument Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.