Individual provider Active NPI

Misti M Ranck, MS

  • Audiologist
  • Lawrence, KS
National Provider Identifier
1184674202
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2145 Issued in KS
Practice address
1112 W 6TH St Ste 216
Lawrence, KS 66044-2249
Phone
(785) 841-1107
Fax
(785) 830-6300
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 183 NE
Audiologist 231H00000X 2145 KS Primary
Audiologist-Hearing Aid Fitter 237600000X 1400 KS

Addresses

Primary practice location

1112 W 6TH St Ste 216
Lawrence, KS 66044-2249

Mailing address

1112 W 6TH St Ste 216
Lawrence, KS 66044-2249
Phone (785) 841-1107

Other identifiers 1

IdentifierTypeStateIssuer
47078557568MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000525 KS Practitioner - Qualified Audiologist 9436280443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Otolaryngology Associates, LLCGroup PAC ID 2466349865, 12 clinicians

Practice addresses (Care Compare)

1112 W 6TH St
Suite 216
Lawrence, KS 66044-2249
Phone (785) 841-1107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183NEMDCounselor
1400KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Otolaryngology Associates, LLC CurrentSince Jun 1, 2010 Accepting new patients

Locations

1112 W 6th St
Ste 216
Lawrence, KS 66044
Phone (785) 841-1107

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1184674202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 216",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-841-1107",
            "fax_number": "785-830-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 216",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-841-1107",
            "fax_number": "785-830-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCK",
        "first_name": "MISTI",
        "middle_name": "M",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "183",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2145",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "1400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557568",
            "state": "NE"
        }
    ],
    "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 May 14, 2010; 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.