Active NPI
Mandy Marie Rounseville, AU.D.
- Audiologist
- Sioux Falls, SD
National Provider Identifier
1437366648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2007012805
- Practice address
- 4948 E 57TH St
Sioux Falls, SD 57108 - Phone
- (605) 306-3050
- Fax
- (605) 306-3052
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2007012805 | MO | Primary |
Addresses
Primary practice location
4948 E 57TH St
Sioux Falls, SD 57108
Mailing address
1431 S Overbrook Ave
Springfield, MO 65807-1248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090217110537596 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4948 E 57TH St
Sioux Falls, SD 57108-8705
Phone (605) 306-3050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2160 | KS | MD | Optometrist |
| 2007012805 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miramar Beach Audiology Associates | Audiologist | Current | Accepting new patients |
| Ascentist Physicians Group, LLC | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinic/Center
- Sioux Falls, SD
- NPI 1265935829
-
- Audiologist
- Miramar Beach, FL
- NPI 1467347591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1437366648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 S OVERBROOK AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658071248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4948 E 57TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57108",
"telephone_number": "605-306-3050",
"fax_number": "605-306-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUNSEVILLE",
"first_name": "MANDY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2007012805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090217110537596",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.