Active NPI
Kelly Dobbs McConnell, AU.D.
- Audiologist-Hearing Aid Fitter
- Port Arthur, TX
National Provider Identifier
1992825319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 51113
- Practice address
- 7980 Anchor Dr
Suite 300-B
Port Arthur, TX 77642-8266 - Phone
- (409) 727-4327
- Fax
- (409) 727-5176
- NPI assigned
- Mar 30, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51113 | TX | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 51113 | TX | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 51113 | TX | |
| Audiologist-Hearing Aid Fitter | 237600000X | 51113 | TX | Primary |
Addresses
Primary practice location
7980 Anchor Dr
Suite 300-B
Port Arthur, TX 77642-8266
Mailing address
7980 Anchor Dr
Suite 300-B
Port Arthur, TX 77642-8266
Phone (409) 727-4327
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Audiology Specialists, PLLC | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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
- Port Arthur, TX
- NPI 1346622776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1992825319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7980 ANCHOR DR",
"address_2": "SUITE 300-B",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428266",
"telephone_number": "409-727-4327",
"fax_number": "409-727-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7980 ANCHOR DR",
"address_2": "SUITE 300-B",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428266",
"telephone_number": "409-727-4327",
"fax_number": "409-727-5176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "KELLY",
"middle_name": "DOBBS",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51113",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "TX",
"license": "51113",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "TX",
"license": "51113",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "51113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.