Individual provider Active NPI

Atheana M Meadows, MA, CCC-A

  • Audiologist
  • Maysville, KY
National Provider Identifier
1558535153
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
991 Medical Park Dr
Suite 301
Maysville, KY 41056-8764
Phone
(606) 759-4852
Fax
(606) 759-0122
NPI assigned
Apr 15, 2008
Last updated
Sep 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary
Hearing Instrument Specialist 237700000X

Addresses

Primary practice location

991 Medical Park Dr
Suite 301
Maysville, KY 41056-8764

Mailing address

491 Tucker Dr
Maysville, KY 41056-9111
Phone (606) 759-4852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001275 IL Practitioner - Qualified Audiologist 8820168222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 E 2ND St
Brookport, IL 62910-2884
Phone (618) 564-2558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0478KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodes Hearing LLC CurrentSince Sep 27, 2024 Accepting new patients
Entlc, PSC Audiologist Past Accepting new patients

Locations

540 N Commercial St
Ste 110
Harrisburg, IL 62946
Phone (618) 241-0403

807 N Court St
Ste C
Marion, IL 62959
Phone (618) 998-8471

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1558535153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569111",
            "telephone_number": "606-759-4852",
            "fax_number": "606-759-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "address_2": "SUITE 301",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-4852",
            "fax_number": "606-759-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "ATHEANA",
        "middle_name": "M",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.