Stacey Dawn Kampe, AU.D. CCC A

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

5015 E 29TH St N
Door T
Wichita, KS 67220-2110

Phone

(316) 978-3289

Fax

(316) 978-7264

NPI assigned

May 8, 2006

Last updated

Jun 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Stacey Dawn Dickinson Former name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KC Hearing Center LLCGroup PAC ID 6901266022, 6 clinicians

Wichita State UniversityGroup PAC ID 5496064438, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wichita State University

  dba Wichita State University Speech Language Hearing Clinic

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1295821858
  Medicare reassignment Care Compare group NPD
• KC Hearing Center LLC

  • Audiologist
  • Raytown, MO
  • NPI 1770123705

  KS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1144279266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "address_2": "CAMPUS BOX 99",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600099",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 E 29TH ST N",
            "address_2": "DOOR T",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202110",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPE",
        "first_name": "STACEY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "AU.D. CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "A00921",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "640002456",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "DICKINSON",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine Kallenberger, D.O.
• Grace Kallimel
• Neelu Kalra, M.D.
• Walter Kalu Kalu
• Stephen Kamau, MA, LCAC
• Jane Kamuren, M.D.
• Andre Kandy, D.D.S.
• Gabriel Hageman Kangas
• Kimberly Kanngiesser, RN
• Kansas Anesthesia Associates PA

• Audiologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Audiologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.