Active NPI
Laura Jean Kelly, PH.D., CCC-A
- Audiologist
- Oxford, OH
National Provider Identifier
1982662219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- OH-A 00737
- Practice address
- 301 S Patterson Ave
Oxford, OH 45056-3414 - Phone
- (513) 529-2500
- Fax
- (513) 529-2502
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OH-A 00737 | OH | Primary |
Addresses
Primary practice location
301 S Patterson Ave
Oxford, OH 45056-3414
Mailing address
301 S Patterson Ave
Oxford, OH 45056-3414
Phone (513) 529-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148787 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH-A 00737 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1982662219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S PATTERSON AVE",
"city": "OXFORD",
"state": "OH",
"postal_code": "450563414",
"telephone_number": "513-529-2500",
"fax_number": "513-529-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S PATTERSON AVE",
"city": "OXFORD",
"state": "OH",
"postal_code": "450563414",
"telephone_number": "513-529-2500",
"fax_number": "513-529-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "LAURA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "OH-A 00737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2148787",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.