Individual provider Active NPI

Katelyn R Waldeier, AUD

  • Audiologist
  • Shawnee Mission, KS
National Provider Identifier
1063143485
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2453 Issued in KS
Practice address
8800 W 75TH St Ste 101
Shawnee Mission, KS 66204-4001
Phone
(913) 403-0018
Fax
(913) 432-3619
NPI assigned
Jun 17, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2453 KS Primary

Addresses

Primary practice location

8800 W 75TH St Ste 101
Shawnee Mission, KS 66204-4001

Mailing address

PO Box 19087
Lenexa, KS 66285-9087
Phone (913) 262-5855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001831 KS Practitioner - Qualified Audiologist 0749665859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Audiologists IncGroup PAC ID 4183693187, 15 clinicians

Practice addresses (Care Compare)

8800 W 75TH St
Suite 101
Shawnee Mission, KS 66204-4001
Phone (913) 403-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2453KSMDClinical Social Worker
2101KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Audiologists Inc Audiologist CurrentSince Aug 2, 2022 Accepting new patients

Locations

1112 W 6th St
Ste 100
Lawrence, KS 66044
Phone (785) 843-8479

1001 6th Ave
Ste 105
Leavenworth, KS 66048
Phone (913) 682-1870

1133 College Ave
Ste A101
Manhattan, KS 66502
Phone (785) 539-7361

12541 Foster St
Ste 220
Overland Park, KS 66213
Phone (913) 498-2827

1600 Community Dr
Seneca, KS 66538
Phone (785) 273-1720

8800 W 75th St
Ste 101
Shawnee Msn, KS 66204
Phone (913) 384-2105

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1063143485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19087",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662859087",
            "telephone_number": "913-262-5855",
            "fax_number": "913-262-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST STE 101",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044001",
            "telephone_number": "913-403-0018",
            "fax_number": "913-432-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEIER",
        "first_name": "KATELYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.