Kelly Lynne Hansen, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY296 Issued in FL

Practice address

8605 Easthaven CT
Suite 101
Trinity, FL 34655-5216

Phone

(727) 372-1130

Fax

(727) 373-1132

NPI assigned

Oct 28, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Hearing Andbalance CenterGroup PAC ID 7517966989, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Trinity Hearing &Balance Center

  • Audiologist
  • Trinity, FL
  • NPI 1851306211
  Medicare reassignment Care Compare group Authorized official
• Michael J Sakellarides MD PA

  • Specialist
  • New Port Richey, FL
  • NPI 1912142050
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1962492025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DEERPATH CT",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772054",
            "telephone_number": "727-786-4010",
            "fax_number": "727-934-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 EASTHAVEN CT",
            "address_2": "SUITE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555216",
            "telephone_number": "727-372-1130",
            "fax_number": "727-373-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- UAW",
            "identifier": "51460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Anthony Hanff, M.D.
• Hanger Prosthetics & Orthotics Inc
• George Hanna, PHARMD
• Mina Hanna, DC
• Sudhir Hansalia, MD
• Benjamin Hardin
• Dina Hargrave, MS, ED.S, LMHC, CMHC
• Kaylee Michelle Harris
• Ishfer Muhammed Hasan, MD
• Sydney Haselden, CAA

• Audiologist in Trinity, FL
• Providers in Trinity, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.