KERI LIGHT (AU.D.) – Audiologist, NPI 1265844039

KERI LIGHT (AU.D.) is a healthcare provider. based in Bristol, Virginia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 2201001554 (VA). The NPI Number for KERI LIGHT (AU.D.) is 1265844039

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KERI LIGHT (AU.D.)
NPI
1265844039
Phone
(276) 669-6331
Address
2603 OSBORNE ST
Enumeration Date
28 May 2014
Last Update Date
28 May 2014

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4239299101
Graduation Year
2014 (12 years ago)
PAC ID
6901026368
Group Practice PAC ID
0244266344
Professional Enrollment ID
I20151008001984
Address ID
TN376042977JO2340XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

279 QUALIFIED AUDIOLOGIST in VA

Provider Addresses for KERI LIGHT (AU.D.)

  • 2603 OSBORNE ST

    SUITE 1

    BRISTOL, VA 242012326

    Phone: (276) 669-6331

    Fax: (276) 669-2950

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151008001984IQualified AudiologistTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function150150$0
92557Comprehensive hearing and speech recognition test149149$0
View full utilization report →

Insurance plans in this area (ZIP 24201)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244266344View full group profile
NameSpecialtyState
-TN
Physician AssistantTN
O T O L A R Y N G O L O G YTN
-TN
Qualified AudiologistTN
Physician AssistantTN
O T O L A R Y N G O L O G YWI
Otolaryngology, Allergy/ImmunologyTN
Physician AssistantTN
O T O L A R Y N G O L O G YIA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for KERI LIGHT (AU.D.)?
KERI LIGHT (AU.D.) — NPI 1265844039 — is the standard way to identify this listing.
Is KERI LIGHT (AU.D.) still practicing?
KERI LIGHT (AU.D.) is currently listed as active in the public NPI registry.
What is KERI LIGHT (AU.D.) best known for clinically?
Directory data describes KERI LIGHT (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
Does KERI LIGHT (AU.D.) list a practice location?
Patients near Bristol, Virginia may find KERI LIGHT (AU.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

156 S. Dossett Drive
NPI: 1316906647

Lebanon Speech and Hearing Center

Speech-Language Pathologist
359 COMMONWEALTH AVE STE 100
NPI: 1417979543
PO BOX 16155
NPI: 1932284221

BRISTOL REGIONAL SPEECH & HEARING CENTER

Hearing and Speech Clinic/Center
2603, Osborne Street, Westfield, Bristol, Bristol City, Virginia, 24201, United States
NPI: 1902063472
2603 OSBORNE ST
NPI: 1780903823
326 V I RANCH RD
NPI: 1780980383
191, Johnson Hollow Road, Midway, Millport, Chemung County, New York, 14864, United States
NPI: 1255841805
359 COMMONWEALTH AVE STE 100
NPI: 1639794969

BREANNA J TURPIN

Audiologist
359 COMMONWEALTH AVE, STE 100
NPI: 1518643410