DR. JOHN KIP KELLY (NPI# 1861582090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861582090 |
| Entity Type | Individual |
| Full Name | DR. JOHN KIP KELLY |
| Credential | AU.D.,PH.D. |
| Practice Address |
150 Muir Rd Vanchcs-audiology 126 Martinez CA 94553-4668 |
| Mailing Address |
150 Muir Rd # 126 Martinez CA 94553-4668 |
| Practice Telephone | 9253722000 |
| Mailing Telephone | 9253722000 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A-01512 | OH | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
A01512 | OH | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
A01512 | OH | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | A01512 | OH | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| J. H. Quillen Vamc, Audiology (126), Mountain Home, TN 37684 | 4239261171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412893 | John Kelly | Home Health Aide | 337 Great Oaks Trl, Wadsworth, OH 44281-9427 | 2020-09-16 |
| 1952969826 | John Kelly | Community Health Worker | 4048 Crestwood Dr, Wausau, WI 54403-8122 | 2019-06-04 |
| 1629530712 | John J Kelly | Otolaryngology | 579 W Moorwood St, Green Valley, AZ 85614-5980 | 2019-04-05 |
| 1851886568 | John D Kelly | Counselor | 481 8th Ave Ste 520, New York, NY 10001-1809 | 2018-06-25 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1225487986 | John Kelly | Pharmacist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2016-06-03 |
| 1588023246 | John Kelly | Behavior Technician | 1118 Poindexter Ave W, Bremerton, WA 98312-4337 | 2016-02-23 |
| 1760880173 | John Kelly | Dentist | 4833 Bethesda Ave Ste 302, Bethesda, MD 20814-5244 | 2014-12-17 |
| 1508135252 | John Kelly | Counselor | 4550 Lantana Road, Suite A4, Lake Worth, FL 33463 | 2011-12-27 |
| 1497055008 | John Peter Kelly | Occupational Therapist | 21 Dorothy Ln, Kings Park, NY 11754-2932 | 2010-10-28 |
| Street Address |
150 MUIR RD VANCHCS-AUDIOLOGY 126 |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262872 | Christine Melanie Leyba | Psychiatry & Neurology | 150 Muir Rd, Martinez, CA 94553-4668 | 2005-11-15 |
| 1033728852 | Khai Nguyen | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-07-28 |
| 1043835226 | Melissa Nagel | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-06-12 |
| 1316560618 | Katie Chan | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1477176782 | John Widenmann | Recreation Therapist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1437787686 | Irwin Beltran Lorico | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-31 |
| 1689200016 | Sandy Lwi | Psychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-17 |
| 1346874120 | Adam Yumang | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-02 |
| 1972135119 | Marisol Jackson | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-02-05 |
| 1336770312 | Morayo Olatunbosun | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932345154 | Ingrid Margot Armstrong | Audiologist | 2413 Saybrook Pl, Martinez, CA 94553-6710 | 2008-12-17 |
| 1285248237 | Shareka Pentony | Audiologist | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2020-09-06 |
| 1700804390 | Jane Trauba Sliheet | Audiologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-07-18 |
| 1104842970 | Dora-thea Porter | Audiologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-07-14 |
| 1700818010 | Dorie Watkins Low | Audiologist | 150 Muir Rd, Audiology (126) Va Outpatient Clinic, Martinez, CA 94553-4668 | 2006-07-07 |
| 1417989062 | Diane Marie Fernandez | Audiologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-07-06 |
| 1508896937 | Polly Byrne Wade | Audiologist | 150 Muir Rd, Audiology (126)/ Va Outpatient Clinic, Martinez, CA 94553-4668 | 2006-07-03 |
| 1013961176 | Jean Marie Deiss | Audiologist | 150 Muir Rd, Audiology (126), Martinez, CA 94553-4668 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.