Individual provider Active NPI

Alyssa Marie Canosa, AU.D.

  • Audiologist
  • Phoenixville, PA
National Provider Identifier
1952832685
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006485 Issued in PA
Practice address
826 Main St Ste 201
Phoenixville, PA 19460-4459
Phone
(610) 415-1100
Fax
(610) 415-1101
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 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 AT006485 PA Primary

Addresses

Primary practice location

826 Main St Ste 201
Phoenixville, PA 19460-4459

Mailing address

460 Creamery Way
Ste 103
Exton, PA 19341-2533
Phone (610) 415-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428000179 PA Practitioner - Qualified Audiologist 0244517316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

639 Red Lion Rd
Huntingdon Valley, PA 19006-6216
Phone (502) 244-2420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Hearing of Pennsylvania, LLC Audiologist CurrentSince Apr 1, 2022 Accepting new patients
Special Care Hearing of Pennsylvania, LLC Audiologist CurrentSince Apr 1, 2022 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

700 S Cayuga Ave
Altoona, PA 16602
Phone (814) 251-9765

639 Red Lion Rd
Huntingdon Vy, PA 19006

Organizations & group practices 2

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1952832685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY",
            "address_2": "STE 103",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-415-1100",
            "fax_number": "610-415-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN ST STE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-415-1100",
            "fax_number": "610-415-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOSA",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

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