Active NPI
Alyssa Marie Canosa, AU.D.
- Audiologist
- Phoenixville, PA
National Provider Identifier
1952832685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006485
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Care Hearing of Pennsylvania, LLC | Audiologist | Current | Accepting new patients |
| Special Care Hearing of Pennsylvania, LLC | Audiologist | Current | 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.
-
- Audiologist
- Huntingdon Vy, PA
- NPI 1124445424
-
- Audiologist
- Lincoln, NE
- NPI 1073122974
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.