DR. KELLY A GIBSON AU.D.
NPI 1841324860
Audiologist-Hearing Aid Fitter in Santa Rosa, CA

Active since March 14, 2007
4725 HOEN AVE, SANTA ROSA, CA 95405(707) 542-1154(707) 542-4818 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Oct 13, 2021, Oct 1, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Kelly A Gibson Au.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY A GIBSON AU.D. (NPI 1841324860) is an individual audiologist-hearing aid fitter provider in Santa Rosa, California, licensed in California (AU 2679) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1841324860
Entity TypeIndividualFemale
Primary Taxonomy237600000X
Provider Legal NameDR. KELLY A GIBSONCredential: AU.D.
Location Address4725 HOEN AVESanta Rosa, CA 95405-9402
Mailing Address750 N Commons Dr Ste 200Aurora, IL 60504-7940 · (630) 303-5380 · Fax (630) 303-5385
Fax(707) 542-4818
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateSeptember 29, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1841324860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
License Licensed in CA · AU 2679
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
Also ListedAudiologistTaxonomy 231H00000X · License AU 2679 (CA)
Also ListedAudiologist · Assistive Technology PractitionerTaxonomy 231HA2400X · License AU 2679 (CA)
Also ListedAudiologist · Assistive Technology SupplierTaxonomy 231HA2500X · License AU 2679 (CA)
Also ListedHearing Instrument SpecialistTaxonomy 237700000X
4725 HOEN AVE, Santa Rosa, CA 95405

Other Identifiers 1

OtherCB279930CA · Medicare

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist-Hearing Aid Fitter
4725 HOEN AVE, SUITE B
SANTA ROSA, CA 95405
Hearing Aid Equipment
4725 HOEN AVE, STE B
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gibson's NPI number?

The NPI number for Kelly Gibson is 1841324860. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Kelly Gibson located?

Kelly Gibson practices at 4725 Hoen Ave, Santa Rosa, CA 95405. The listed phone number is (707) 542-1154.

What is Kelly Gibson's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

When was this NPI record last updated?

The NPPES record for Kelly Gibson was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.