Individual provider Active NPI

Casandra Burnett Banks, M.A.

  • Audiologist
  • Lawrence, KS
National Provider Identifier
1063566149
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1158 Issued in KS
Practice address
1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534
Phone
(785) 864-4690
Fax
(785) 864-5094
NPI assigned
Jan 23, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1158 KS Primary

Addresses

Primary practice location

1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534

Mailing address

1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534
Phone (785) 864-4690

Other identifiers 1

IdentifierTypeStateIssuer
115157OtherKSBLUE SHIELD OF KS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120607000141 TN Practitioner - Qualified Audiologist 6507020310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of MemphisGroup PAC ID 9032373956, 11 clinicians

Practice addresses (Care Compare)

4055 N Park Loop
Suite 1004
Memphis, TN 38152-4220
Phone (901) 678-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1158KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Lebonheur Pediatric Specialists, Inc. CurrentSince Nov 1, 2016 Accepting new patients
The University of Memphis Audiologist CurrentSince Aug 2, 2023 Accepting new patients
The University of Memphis CurrentSince Aug 2, 2023 Accepting new patients
State of Kansas Past Accepting new patients

Locations

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360

4055 N Park Loop
Ste 1004
Memphis, TN 38152
Phone (901) 678-2009

807 Jefferson Ave
Memphis, TN 38105
Phone (901) 678-5800

850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594

Organizations & group practices 4

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063566149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SUNNYSIDE AVE",
            "address_2": "2101 HAWORTH HALL",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457534",
            "telephone_number": "785-864-4690",
            "fax_number": "785-864-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SUNNYSIDE AVE",
            "address_2": "2101 HAWORTH HALL",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457534",
            "telephone_number": "785-864-4690",
            "fax_number": "785-864-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "CASANDRA",
        "middle_name": "BURNETT",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KS",
            "identifier": "115157",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.