Organization Active NPI

Woodward Audiology, LLC

  • Audiologist
  • Kirksville, MO
National Provider Identifier
1003255456
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2001006100 Issued in MO
Legal business name
WOODWARD AUDIOLOGY, LLC
Practice address
101 S Baltimore St
Kirksville, MO 63501-3749
Phone
(660) 665-9114
Fax
(573) 756-0505
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Michelle Luckett Woodward, M.S.,CCC-ANPI 1225201338
Title
Owner/Audiologist
Phone
(660) 665-9114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 2001006100 MO Primary

Addresses

Primary practice location

101 S Baltimore St
Kirksville, MO 63501-3749

Mailing address

101 S Baltimore St
Kirksville, MO 63501-3749
Phone (660) 665-9114

Other names 1

  • Hearing Care Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130813000721 MO Part B Supplier - Clinic/Group Practice 2365684875 Receives reassigned benefits from 4 practitioners
Practice locations: Kirksville, MO

National Provider Directory

National Provider Directory

Locations

22205 E US Highway 136
Bethany, MO 64424
Phone (660) 665-9114

700 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2191

101 S Baltimore St
Kirksville, MO 63501
Phone (660) 626-2777

303 N Missouri St
Macon, MO 63552

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1003255456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013749",
            "telephone_number": "660-665-9114",
            "fax_number": "573-756-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013749",
            "telephone_number": "660-665-9114",
            "fax_number": "573-756-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LUCKETT",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "660-665-9114",
        "authorized_official_credential": "M.S.,CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2001006100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Care Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.