Individual provider Active NPI

Mary A Wade, AUD

  • Audiologist
  • Topeka, KS
National Provider Identifier
1003948514
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1060 Issued in KS
Practice address
920 SW Lane St
Suite 200
Topeka, KS 66606-2549
Phone
(785) 233-0500
Fax
(785) 233-0660
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1060 KS Primary

Addresses

Primary practice location

920 SW Lane St
Suite 200
Topeka, KS 66606-2549

Mailing address

920 SW Lane St
Suite 200
Topeka, KS 66606-2549
Phone (785) 233-0500

Other identifiers 2

IdentifierTypeStateIssuer
011845OtherKSBLUE CROSS BLUE SHIELD
100228010AMedicaidKS

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emporia Head Neck P.a. Past Accepting new patients
Topeka Ear, Nose, and Throat,PA Audiologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1003948514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW LANE ST",
            "address_2": "SUITE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062549",
            "telephone_number": "785-233-0500",
            "fax_number": "785-233-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW LANE ST",
            "address_2": "SUITE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062549",
            "telephone_number": "785-233-0500",
            "fax_number": "785-233-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "011845",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228010A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.