Individual provider Active NPI

Angela R Fyffe, AU.D.

  • Audiologist
  • Belton, MO
National Provider Identifier
1386815280
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
111863 Issued in MO
Practice address
8424 Clint Drive
Belton, MO 64012
Phone
(816) 322-8883
Fax
(816) 322-8889
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1396 KS
Audiologist 231H00000X 111863 MO Primary

Addresses

Primary practice location

8424 Clint Drive
Belton, MO 64012

Mailing address

8424 Clint Drive
Belton, MO 64012
Phone (816) 322-8883

Other practice location 1

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7000

Other names 1

  • Mrs. Angela R Wright Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.bcmhospital.com/ Other

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
111863MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Current Accepting new patients
Cass Regional Medical Center CurrentSince Mar 1, 2011 Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
Bates County Memorial Hospital CurrentSince Aug 7, 2017 Accepting new patients
Cass Regional Medical Center CurrentSince Mar 1, 2011 Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Bates County Memorial Hospital CurrentSince Aug 7, 2017 Accepting new patients
KC Hearing Center LLC Audiologist PastSince Sep 5, 2015 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

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

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

Organizations & group practices 8

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1386815280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 CLINT DRIVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "64012",
            "telephone_number": "816-322-8883",
            "fax_number": "816-322-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 CLINT DRIVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "64012",
            "telephone_number": "816-322-8883",
            "fax_number": "816-322-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 W Nursery St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "647301840",
            "country_code": "US",
            "telephone_number": "660-200-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FYFFE",
        "first_name": "ANGELA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1396",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "111863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.bcmhospital.com/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "http://www.bcmhospital.com/",
            "address_1": "615 W Nursery St",
            "city": "Butler",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647301840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WRIGHT",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.