Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700990850 Deactivated / Inactive NPI Female Practitioner

Mary Katherine Moran , MA

Audiologist • Saint Cloud, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Moran has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date December 05, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Mary Moran, MA was a registered Audiologist practicing in Saint Cloud, MN. Throughout an active medical career spanning 13 years, Mary Moran provided care at the practice location at 4801 VETERANS DR until profile deactivation on 2019-12-05.

Practice Location & Contact Primary Location

Practice Address

4801 Veterans Dr
Audiology Department

Saint Cloud, MN 563032015

Telephone 3202556370
Fax 3202556434
Associated Practice Facility / Clinic
🏢 St. Cloud Vamc Facility NPI 1235187741

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
21 Specialists

Practicing in Saint Cloud, MN (516 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License MN 5872

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1104114917

Doctor of Audiology

NPI 1285657700

Doctor of Audiology

NPI 1457522617

Doctor of Audiology

NPI 1538477161

Doctor of Optometry

Jackson Rose

Audiologist

NPI 1619893989
NPI 1649641515

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated December 05, 2019

Record deactivated on December 05, 2019

NPI Profile Active December 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2009

Registered at 4801 VETERANS DR, AUDIOLOGY DEPARTMENT, SAINT CLOUD, MN 563032015 (Tel: 3202556370)

📍
Updated Business Mailing Address December 28, 2009

Registered at 4801 VETERANS DRIVE, AUDIOLOGY DEPARTMENT, SAINT CLOUD, MN 563032015 (Tel: 3202526370)

👤
Provider Name / Credentials Updated December 28, 2009

Recorded as MARY MORAN, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2009

Audiologist (License #5872 in MN)

🟢
Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mary Moran. Be the first to share your experience!

Sign in to leave a review for Mary Moran

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700990850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: December 28, 2009
Deactivation Date: December 05, 2019

Mailing Address

4801 Veterans Drive, Audiology Department

Saint Cloud, MN 563032015

Phone: 3202526370

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.