Organization Active NPI

Quality Hearing and Audiology Center LLC

  • Audiologist
  • Saint Joseph, MO
National Provider Identifier
1598167587
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2012034143 Issued in MO
Legal business name
QUALITY HEARING AND AUDIOLOGY CENTER LLC
Practice address
2227 North Belt Highway
St. Joseph, MO 64506
Phone
(816) 233-0022
Fax
(616) 233-0023
NPI assigned
Sep 22, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Pamela Shattuck Nelson, AU.D.NPI 1730333774
Title
Owner/Audiologist
Phone
(816) 728-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 2012034143 MO Primary

Addresses

Primary practice location

2227 North Belt Highway
St. Joseph, MO 64506

Mailing address

2227 North Belt Highway
St. Joseph, MO 64506
Phone (816) 233-0022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150223000683 MO Part B Supplier - Clinic/Group Practice 9133444821 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Joseph, MO

National Provider Directory

National Provider Directory

Locations

2227 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 233-0022

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1598167587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 NORTH BELT HIGHWAY",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-233-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 NORTH BELT HIGHWAY",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-233-0022",
            "fax_number": "616-233-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HEARING AND AUDIOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SHATTUCK",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "816-728-1100",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2012034143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.