Active NPI
Woodward Audiology, LLC
- Audiologist
- Kirksville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2001006100
- 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
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-A
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130813000721 | MO | Part B Supplier - Clinic/Group Practice | 2365684875 |
Receives reassigned benefits from 4 practitioners Practice locations: Kirksville, MO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Kirksville, MO
- NPI 1225201338
-
- Audiologist
- Kirksville, MO
- NPI 1790650612
-
- Audiologist
- Kansas City, MO
- NPI 1356449532
-
- Audiologist
- Hannibal, MO
- NPI 1578041539
-
- Hearing Instrument Specialist
- Kirksville, MO
- NPI 1679320188
-
- Hearing Instrument Specialist
- Kirksville, MO
- NPI 1801441142
-
- Hearing Instrument Specialist
- Maryville, MO
- NPI 1447033303
-
- Hearing Instrument Specialist
- Bethany, MO
- NPI 1083372197
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.