Individual provider Active NPI

Mary Catherine Keeter, AU.D

  • Audiologist
  • Rocky Mount, NC
National Provider Identifier
1972770048
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2462 Issued in NC
Practice address
4065 Capital Dr
Rocky Mount, NC 27804-3123
Phone
(252) 977-4327
Fax
(252) 977-4329
NPI assigned
May 8, 2008
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2462 NC
Audiologist 231H00000X 2462 NC Primary

Addresses

Primary practice location

4065 Capital Dr
Rocky Mount, NC 27804-3123

Mailing address

4065 Capital Dr
Rocky Mount, NC 27804-3123
Phone (252) 977-4327

Other identifiers 2

IdentifierTypeStateIssuer
2462OtherNCN.C. AUDIOLOGY BOARD LICENSE
01256OtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000110 NC Practitioner - Qualified Audiologist 7113090291 Reassigns benefits to 2 organizations

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
Carolina Audiology AssociatesGroup PAC ID 2860647369, 2 clinicians
Clayton Audiology PLLCGroup PAC ID 8022496280, 4 clinicians

Practice addresses (Care Compare)

4065 Capital Dr
Rocky Mount, NC 27804-3123
Phone (252) 977-4327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2462NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Audiology PLLC Audiologist CurrentSince Jan 11, 2026 Accepting new patients
Carolina Audiology Associates Audiologist CurrentSince Jan 23, 2013 Accepting new patients

Locations

922 Veterans Pkwy
Clayton, NC 27520
Phone (919) 241-7734

4065 Capital Dr
Rocky Mount, NC 27804
Phone (252) 977-4327

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1972770048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 CAPITAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-977-4327",
            "fax_number": "252-977-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CAPITAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-977-4327",
            "fax_number": "252-977-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETER",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "2462",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.C. AUDIOLOGY BOARD LICENSE",
            "identifier": "2462",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01256",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.