Individual provider Active NPI

Jaime L Parks, MS CCC-A, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Overland Park, KS
National Provider Identifier
1124144837
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
2163 Issued in KS
Practice address
3655 W 95TH St
Overland Park, KS 66206
Phone
(913) 338-1200
Fax
(913) 338-1205
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2163 KS Primary

Addresses

Primary practice location

3655 W 95TH St
Overland Park, KS 66206

Mailing address

4701 College Blvd
Suite 109
Leawood, KS 66211-1934
Phone (913) 338-1200

Other identifiers 1

IdentifierTypeStateIssuer
2163OtherKSAUDIOLOGIST

Other names 1

  • Jaime L Wigner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, IA, SD, OH5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20081224000040 KS Practitioner - Qualified Audiologist 1658433701 Reassigns benefits to 3 organizations
I20120120000077 MO Practitioner - Qualified Audiologist 1658433701 Reassigns benefits to 1 organization
I20220216002841 IA Practitioner - Qualified Audiologist 1658433701 Reassigns benefits to 1 organization
I20220603002398 SD Practitioner - Qualified Audiologist 1658433701 Reassigns benefits to 1 organization
I20251209003247 OH Practitioner - Qualified Audiologist 1658433701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6901 Shawnee Mission Pkwy
Suite 400
Overland Park, KS 66202-4029

6901 Shawnee Mission Pkwy
Suite 400
Overland Park, KS 66202-4033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2163KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stanfordroland LTD Audiologist-Hearing Aid Fitter CurrentSince May 1, 2022 Accepting new patients
Injoy Hearing LLC CurrentSince Aug 12, 2023 Accepting new patients
Bruyer Freedom Hearing, LLC Audiologist-Hearing Aid Fitter CurrentSince May 1, 2022 Accepting new patients
Freedom Hearing Audiologist-Hearing Aid Fitter CurrentSince Jun 1, 2016 Accepting new patients

Locations

201 Ridge St
Ste 310
Council Bluffs, IA 51503
Phone (712) 323-7123

2040 Hutton Rd
Ste 108
Kansas City, KS 66109

5423 Johnson Dr
Mission, KS 66205
Phone (913) 356-5300

153 W 151st St
Ste 140
Olathe, KS 66061
Phone (816) 883-2666

6701 W 64th St
Ste 125
Overland Park, KS 66202
Phone (913) 789-9900

7309 W 95th St
Overland Park, KS 66212
Phone (816) 883-2662

3633 W 95th St
Overland Park, KS 66206
Phone (913) 338-1200

105 N Clayview Dr
Liberty, MO 64068
Phone (816) 389-5999

3901 Pine Lake Rd
Ste 217
Lincoln, NE 68516
Phone (402) 875-5444

505 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 508-7601

301 W 14th St
Sioux Falls, SD 57104
Phone (605) 338-6251

Organizations & group practices 5

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1124144837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 COLLEGE BLVD",
            "address_2": "SUITE 109",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111934",
            "telephone_number": "913-338-1200",
            "fax_number": "913-338-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66206",
            "telephone_number": "913-338-1200",
            "fax_number": "913-338-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "MS CCC-A, AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "2163",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "WIGNER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.