MISS CAILYN ELIZABETH KELLY (NPI# 1104005834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104005834 |
| Entity Type | Individual |
| Full Name | MISS CAILYN ELIZABETH KELLY |
| Credential | AUD, CCC-A |
| Practice Address |
500 Congress St Ste 2j Quincy MA 02169-0960 |
| Mailing Address |
Dept 3298 Carol Stream IL 60132-3298 |
| Practice Telephone | 6174797503 |
| Mailing Telephone | 6174797503 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2012-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 877 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 5107041 | 05 |
| Street Address |
500 CONGRESS ST STE 2J |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1790043982 | Quincy Audiology, LLC | Audiologist | 1622 Vermont St, Quincy, IL 62301-3156 | 2012-04-25 |
| 1437448081 | Brian J Kim | Audiologist | 1107 College Ave Ste 2, Quincy, IL 62301-2600 | 2011-04-05 |
| 1942488069 | Kevin Sean Ballard | Audiologist | 731 Maine St, Quincy, IL 62301-4012 | 2008-01-31 |
| 1699804757 | Moss Hearing Aids, Incorporated | Audiologist | 114 N 6th St, Quincy, IL 62301-2904 | 2007-03-05 |
| 1235155938 | Kristen Marie Dolan | Audiologist | 68 E Central Ave # 1b, Quincy, CA 95971-9718 | 2006-07-14 |
| 1205453859 | Hannah Lee Mahon | Audiologist | 731 Maine St, Quincy, IL 62301-4012 | 2020-06-30 |
| 1376996769 | Amanda Jean Wand | Audiologist | 731 Maine St, Quincy, IL 62301-4012 | 2016-07-20 |
| 1497106389 | Valeria Duque | Audiologist | 500 Congress St, Suite 2j, Quincy, MA 02169-0908 | 2016-06-22 |
| 1548679624 | Mayflower Audiology, LLC | Audiologist | 1515 Hancock St, Quincy, MA 02169-5243 | 2014-08-04 |
| 1205199973 | Lauren A. Welch | Audiologist | 927 Broadway St, Quincy, IL 62301-2719 | 2012-06-19 |
| Find all providers in QUINCY | ||||
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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.