Individual provider Active NPI

Kathryn M Grote, CCC-A

  • Audiologist
  • Raytown, MO
National Provider Identifier
1205014305
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2004012753 Issued in MO
Practice address
6528 Raytown Rd Ste D
Raytown, MO 64133-1996
Phone
(816) 737-0055
Fax
(816) 737-8834
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2004012753 MO Primary

Addresses

Primary practice location

6528 Raytown Rd Ste D
Raytown, MO 64133-1996

Mailing address

6528 Raytown Rd Ste D
Raytown, MO 64133-1996
Phone (816) 737-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080904000420 MO Practitioner - Qualified Audiologist 0244306892 Reassigns benefits to 2 organizations
I20260416003718 KS Practitioner - Qualified Audiologist 0244306892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hearing Center LLCGroup PAC ID 6901266022, 6 clinicians

Practice addresses (Care Compare)

3500 N Rock Rd
BLDG 1200 the Center for Better Hearing
Wichita, KS 67226-1334
Phone (316) 858-3334

6528 Raytown Rd
Suite I
Raytown, MO 64133-5023
Phone (816) 737-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004012753MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bates County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
KC Hearing Center LLC Audiologist CurrentSince Feb 17, 2023 Accepting new patients
Mawd Pathology Group Inc Current Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Bates County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Ascentist Physicians Group, LLC Audiologist Past Accepting new patients

Locations

3500 N Rock Rd
Bldg 1200
Wichita, KS 67226
Phone (316) 636-2226

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

17601 E US Highway 40
Ste L
Independence, MO 64055
Phone (816) 373-7900

6528 Raytown Rd
Ste I
Raytown, MO 64133
Phone (816) 605-9855

6528 Raytown Rd
Ste D
Raytown, MO 64133
Phone (816) 737-0055

Organizations & group practices 6

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1205014305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 RAYTOWN RD STE D",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641331996",
            "telephone_number": "816-737-0055",
            "fax_number": "816-737-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6528 RAYTOWN RD STE D",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641331996",
            "telephone_number": "816-737-0055",
            "fax_number": "816-737-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTE",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2004012753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.