Individual provider Active NPI

Carol Beth Jared-Brown, MS CCC

  • Audiologist
  • Wichita, KS
National Provider Identifier
1487603882
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00356 Issued in KS
Practice address
3500 N Rock Rd BLDG 1200
Wichita, KS 67226-1334
Phone
(316) 858-3334
Fax
(316) 361-0638
NPI assigned
May 10, 2006
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00356 KS Primary

Addresses

Primary practice location

3500 N Rock Rd BLDG 1200
Wichita, KS 67226-1334

Mailing address

3500 N Rock Rd BLDG 1200
Wichita, KS 67226-1334
Phone (316) 858-3334

Other identifiers 4

IdentifierTypeStateIssuer
018332OtherKSBC/BS
4425OtherKSPHS
640002455OtherRAIL ROAD MEDICARE
100228540AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706001018 KS Practitioner - Qualified Audiologist 3274579776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A00356KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Better Hearing LLC Audiologist CurrentSince Jul 1, 2011 Accepting new patients
KC Hearing Center LLC Audiologist CurrentSince Feb 2, 2025 Accepting new patients

Locations

3500 N Rock Rd
Bldg 1200
Wichita, KS 67226
Phone (316) 636-2226

6528 Raytown Rd
Ste I
Raytown, MO 64133
Phone (816) 353-3358

Organizations & group practices 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1487603882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD BLDG 1200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261334",
            "telephone_number": "316-858-3334",
            "fax_number": "316-361-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD BLDG 1200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261334",
            "telephone_number": "316-858-3334",
            "fax_number": "316-361-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARED-BROWN",
        "first_name": "CAROL",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "A00356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "018332",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "4425",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "640002455",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.