Jaime L Carmody, M.S.,CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2006006300 Issued in MO

Practice address

12380 Olive Blvd
Creve Coeur, MO 63141-6443

Phone

(314) 729-0077

Fax

(314) 729-0101

NPI assigned

Apr 1, 2008

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Dizziness and Balance Institute LLCGroup PAC ID 8224466701, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Midwest Dizziness and Balance Institute LLC

  dba Midwest Dizziness and Balance Institute

  • Audiologist
  • Chesterfield, MO
  • NPI 1548823735
  Medicare reassignment Care Compare group NPD
• Ear Nose & Throat & Plastic Surg Inc

  • Facial Plastic Surgery Physician
  • Saint Louis, MO
  • NPI 1104911288
  NPD (past)
• Metropolitan Plastic Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • Saint Peters, MO
  • NPI 1184601569
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1114199957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 OLD DES PERES RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311865",
            "telephone_number": "314-722-2957",
            "fax_number": "314-729-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "telephone_number": "314-729-0077",
            "fax_number": "314-729-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 S New Ballas Rd Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418234",
            "country_code": "US",
            "telephone_number": "314-722-2957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12380 OLIVE BLVD",
            "address_purpose": "LOCATION",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "country_code": "US",
            "telephone_number": "314-729-0077",
            "fax_number": "314-729-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "M.S.,CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2006006300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "138830003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patti Ann Carbol, M.S.CCC-SLP
• Care Pharmaccyllc
• Care Pharmacy LLC
• Carepartners & Co., LLC
• Carlos a. Maitz M.D.
• Lindsey Carney, MOT, OTR/L
• Anna V Castiller, M.S., CCC-SLP
• Rebekah Cawley
• Centerpointe Pharmacy West
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)

• Audiologist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.