Individual provider Active NPI

Joellen Marie Wolterman, M.A., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Saint Joseph, MO
National Provider Identifier
1003055138
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
02049 Issued in MO
Practice address
101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015
Phone
(816) 671-4840
Fax
(816) 671-4840
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 875 IA
Audiologist-Hearing Aid Fitter 237600000X 02049 MO Primary
Audiologist-Hearing Aid Fitter 237600000X 580 IA

Addresses

Primary practice location

101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015

Mailing address

101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015
Phone (816) 671-4840

Other practice location 1

6955 University Ave
Windsor Heights, IA 50311-1540
Phone (515) 274-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
875IAMDCounseling Psychologist
02049MOMDPediatric Physical Therapist
580IAMDAudiologist-Hearing Aid Fitter

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL PPO Downstate

Interoperability endpoints

  • FHIR API: https://epicproxy.et1274.epichosted.com/FHIRProxy/api/FHIR/R4/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1003055138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 300",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-671-4840",
            "fax_number": "816-671-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 300",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-671-4840",
            "fax_number": "816-671-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6955 University Ave",
            "address_purpose": "LOCATION",
            "city": "Windsor Heights",
            "state": "IA",
            "postal_code": "503111540",
            "country_code": "US",
            "telephone_number": "515-274-1285",
            "fax_number": "515-274-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLTERMAN",
        "first_name": "JOELLEN",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "875",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "02049",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.