Active NPI
Kevin Earnhart, HIS
- Hearing Instrument Specialist
- Sikeston, MO
National Provider Identifier
1295328003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 648
- Practice address
- 212 S Main St
Sikeston, MO 63801-3034 - Phone
- (573) 475-8500
- Fax
- (573) 475-8500
- NPI assigned
- Feb 12, 2021
- Last updated
- Feb 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2015002204 | MO | |
| Hearing Instrument Specialist | 237700000X | 648 | AR | Primary |
Addresses
Primary practice location
212 S Main St
Sikeston, MO 63801-3034
Mailing address
615 N Main St
O Fallon, IL 62269-3704
Phone (618) 624-4471
Other practice location 1
2402 Wildwood Ave Ste 132
Sherwood, AR 72120-5117
Phone (501) 436-0081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648 | AR | MD | Speech-Language Pathologist |
| 2015002204 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Hearing Inc | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
615 N Main St
O Fallon, IL 62269
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.
-
dba Beltone Hearing Aid Service
- Hearing Instrument Specialist
- O'Fallon, IL
- NPI 1144836800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1295328003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N MAIN ST",
"city": "O FALLON",
"state": "IL",
"postal_code": "622693704",
"telephone_number": "618-624-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S MAIN ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638013034",
"telephone_number": "573-475-8500",
"fax_number": "573-475-8500"
}
],
"practiceLocations": [
{
"address_1": "2402 Wildwood Ave Ste 132",
"address_purpose": "LOCATION",
"city": "Sherwood",
"state": "AR",
"postal_code": "721205117",
"country_code": "US",
"telephone_number": "501-436-0081",
"fax_number": "501-436-0081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARNHART",
"first_name": "KEVIN",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "2015002204",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AR",
"license": "648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.