Individual provider Active NPI

Jessica Grace Gaughan, AUD

  • Audiologist
  • Topeka, KS
National Provider Identifier
1194174490
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
920 SW Lane St
Ste 200
Topeka, KS 66606-2549
Phone
(785) 233-0500
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X KS Primary

Addresses

Primary practice location

920 SW Lane St
Ste 200
Topeka, KS 66606-2549

Mailing address

920 SW Lane St
Ste 200
Topeka, KS 66606-2549
Phone (785) 233-0500

Other practice location 1

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-6107

Other names 1

  • Miss Jessica Grace Harry Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002504 KS Practitioner - Qualified Audiologist 0648564567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Ear, Nose and Throat, P.a.Group PAC ID 0143274027, 20 clinicians

Practice addresses (Care Compare)

920 SW Lane St
Suite 200
Topeka, KS 66606-2550
Phone (785) 233-0500

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
94.05
Improvement activities
40
Cost
73.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Ear, Nose and Throat, P.a. CurrentSince Jul 25, 2016 Accepting new patients
Topeka Ear, Nose, and Throat,PA Audiologist PastSince Jul 25, 2016 Accepting new patients

Locations

1600 Community Dr
Seneca, KS 66538
Phone (785) 273-1720

920 SW Lane St
Ste 200
Topeka, KS 66606
Phone (785) 233-0500

Organizations & group practices 2

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1194174490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW LANE ST",
            "address_2": "STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062549",
            "telephone_number": "785-233-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW LANE ST",
            "address_2": "STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062549",
            "telephone_number": "785-233-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "KS",
            "postal_code": "665389739",
            "country_code": "US",
            "telephone_number": "785-336-6107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "JESSICA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HARRY",
            "middle_name": "GRACE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.