Audrey Bishop, B.S, RDH, CDA, EFDA

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2005016229 Issued in MO

Practice address

440 E Tampa St
Springfield, MO 65806-1131

Phone

(417) 831-0150

Fax

(417) 868-8263

NPI assigned

Mar 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Interoperability endpoints

• Direct secure messaging: ellie.bishop.p1@direct.jordanvalley.nextgenshare.com
• Direct secure messaging: ebishop694239@direct.ochin.org

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1295127199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-831-0150",
            "fax_number": "417-868-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-831-0150",
            "fax_number": "417-868-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "AUDREY",
        "credential": "B.S, RDH, CDA, EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2005016229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Avery Birlew, M.D.
• Birth Innately, LLC
• Birthcentered
• Cary Mahla Bisbey, DO
• Andrea Lynn Bishop Stout, MS, MBA, PLPC
• Promise Bishop
• Brooke Bitner, PHARMD
• Lyssa Bivens
• Whitney Nicole Bixler, ATC
• Lilian Lisette Bizzocchi

• Dental Hygienist in Springfield, MO
• Providers in Springfield, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.