Individual provider Active NPI

Ellen Onica

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1407591225
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
9835 Manchester Rd
Saint Louis, MO 63119-1243
Phone
(314) 968-4710
Fax
(314) 968-4762
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

9835 Manchester Rd
Saint Louis, MO 63119-1243

Mailing address

9835 Manchester Rd
Saint Louis, MO 63119-1243
Phone (314) 968-4710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105002476 MO Practitioner - Qualified Audiologist 8224408380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Hearing and SpeechGroup PAC ID 3577460351, 5 clinicians

Practice addresses (Care Compare)

9835 Manchester Rd
Saint Louis, MO 63119-1243
Phone (314) 968-4710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hearing & Speech Audiologist CurrentSince Oct 6, 2022 Accepting new patients
Affinia Healthcare CurrentSince May 22, 2023 Accepting new patients
Affinia Healthcare CurrentSince May 22, 2023 Accepting new patients
Easter Seals Midwest Audiologist PastSince May 8, 2022 Accepting new patients

Locations

9835 Manchester Rd
Saint Louis, MO 63119
Phone (314) 968-4710

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1407591225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191243",
            "telephone_number": "314-968-4710",
            "fax_number": "314-968-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191243",
            "telephone_number": "314-968-4710",
            "fax_number": "314-968-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONICA",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.