Individual provider Active NPI

Nicole M Leonard, AUD CCC-A

  • Audiologist
  • Kansas City, KS
National Provider Identifier
1033274683
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2105 Issued in KS
Practice address
3901 Rainbow Blvd # Ms 3010
Kansas City, KS 66103-2937
Phone
(913) 588-6745
Fax
(913) 588-4676
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2105 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 3010
Kansas City, KS 66103-2937

Mailing address

12711 W 66TH St
Shawnee, KS 66216-2536
Phone (913) 424-2143

Other identifiers 1

IdentifierTypeStateIssuer
200335290AMedicaidKS

Other names 1

  • Nicole M Niehues Former name

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

State licenses

LicenseStateTypeSpecialty
2105KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1033274683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12711 W 66TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162536",
            "telephone_number": "913-424-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 3010",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032937",
            "telephone_number": "913-588-6745",
            "fax_number": "913-588-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AUD CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335290A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NIEHUES",
            "middle_name": "M",
            "credential": "CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.