DR. KAITLYN MARIE KELLY (NPI# 1639544182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639544182 |
| Entity Type | Individual |
| Full Name | DR. KAITLYN MARIE KELLY |
| Credential | AU.D. |
| Practice Address |
1100 Long Pond Rd Suite 110 Rochester NY 14626-1177 |
| Practice Telephone | 5852251100 |
| Practice Fax Number | 5852250216 |
| Mailing Telephone | 5852251100 |
| Mailing Fax Number | 5852250216 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 002675 | NY | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 14000032759 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1639544182 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124272430 | Kaitlyn J Kelly | Surgery | Moores Cancer Center Ucsd, 3855 Health Sciences Drive, Mail Code 0987, La Jolla, CA 92093-0001 | 2008-11-13 |
| 1780143297 | Kaitlyn Kelly | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2019-03-14 |
| 1275038887 | Kaitlyn Jo Kelly | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2018-03-26 |
| 1588167167 | Kaitlyn Kelly | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2018-03-09 |
| 1578019352 | Kaitlyn Kelly | Behavioral Analyst | 10370 Battleview Pkwy, Manassas, VA 20109-2338 | 2016-08-31 |
| Street Address |
1100 LONG POND RD SUITE 110 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497707194 | Carrie L Morabito | Specialist | 1100 Long Pond Rd, Suite 110, Rochester, NY 14626-1154 | 2006-05-17 |
| 1275919268 | Benjamin Q Antonucci | Physical Therapist | 1100 Long Pond Rd, 104, Rochester, NY 14626-1177 | 2015-08-03 |
| 1750770566 | Julie Kay Collins | Hearing Instrument Specialist | 1100 Long Pond Rd, Suite 110, Rochester, NY 14626-1177 | 2015-01-16 |
| 1356778450 | Lyndsay Kristine Peishel | Physician Assistant | 1100 Long Pond Rd, Suite 250, Rochester, NY 14626-1177 | 2013-10-03 |
| 1538435029 | Greece Chiropractic Pllc | Chiropractor | 1100 Long Pond Rd, Ste 258, Rochester, NY 14626-1177 | 2012-03-28 |
| 1922396886 | Sports Physical Therapy of New York, PC | Physical Therapist | 1100 Long Pond Rd, #222a, Rochester, NY 14626-1177 | 2011-07-13 |
| 1134415482 | Julie Ann Prattico | Physical Therapist | 1100 Long Pond Rd, Suite 222a, Rochester, NY 14626-1177 | 2011-06-24 |
| 1447549472 | Jeffrey Earl West | Chiropractor | 1100 Long Pond Rd, Suite 258, Rochester, NY 14626-1177 | 2011-03-30 |
| 1821397274 | Ashley Lynn Broska | Audiologist | 1100 Long Pond Rd, Suite 110, Rochester, NY 14626-1154 | 2011-03-24 |
| 1043537657 | Briani Jackson | Family Medicine | 1100 Long Pond Rd, Suite 250, Rochester, NY 14626-1177 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| 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 |
|---|---|---|---|---|
| 1386095883 | Kathryn Roberts | Audiologist | 1 Woodbury Blvd Apt 312, Rochester, NY 14604-1829 | 2016-06-26 |
| 1912368333 | Sarah L Hodgson | Audiologist | 101 Canal Landing Blvd Ste 10, Rochester, NY 14626-5109 | 2016-03-12 |
| 1841421112 | Kristen D Savage | Audiologist | 3199 W Ridge Rd, Rochester, NY 14626-3257 | 2009-08-04 |
| 1033358155 | Carolynne M Pouliot | Audiologist | 21 Alta Vista Dr, Rochester, NY 14625-1516 | 2009-02-12 |
| 1275785628 | Linda G. Gottermeier | Audiologist | 52 Lomb Memorial Drive, Lbj-3123, Rochester, NY 14623-5604 | 2008-10-16 |
| 1629220421 | Catherine Celeste Clark | Audiologist | 52 Lomb Memorial Dr, Rochester, NY 14623-5604 | 2008-10-13 |
| 1295986867 | Laura Ann Aubin | Audiologist | 1202 Walton Blvd Ste 201, Rochester, MI 48307-6918 | 2008-10-01 |
| 1073784161 | Pamela Tunney Kruger | Audiologist | 2365 S Clinton Ave Ste 200, Rochester, NY 14618-2663 | 2008-03-17 |
| 1033223201 | Larry J Byle | Audiologist | 134 W University Dr, Suite 203, Rochester, MI 48307-1951 | 2006-08-18 |
| 1417980012 | Sarah J. Strossman | Audiologist | 360 Linden Oaks Ste 220, Rochester, NY 14625 | 2006-07-08 |
| Find all providers in ROCHESTER | ||||
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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.