Active NPI
Olivia Maree Ballard, HIS
- Hearing Instrument Specialist
- Sedalia, MO
National Provider Identifier
1609634450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2023028717
- Practice address
- 904 Thompson Blvd
Sedalia, MO 65301-2241 - Phone
- (660) 826-3700
- NPI assigned
- Mar 7, 2024
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2023028717 | MO | Primary |
Addresses
Primary practice location
904 Thompson Blvd
Sedalia, MO 65301-2241
Mailing address
2202 W 3Rd St
Sedalia, MO 65301-2408
Phone (660) 619-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16112054 | Other | CAQH ID |
Other names 1
- Olivia Maree Poteet
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023028717 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearsound Hearing LLC | Past | Accepting new patients | |
| Clear Sound Hearing LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hearing Aid Equipment
- Springfield, MO
- NPI 1992905228
-
- Hearing Aid Equipment
- Sedalia, MO
- NPI 1053652917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1609634450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 W 3RD ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012408",
"telephone_number": "660-619-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 THOMPSON BLVD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012241",
"telephone_number": "660-826-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "OLIVIA",
"middle_name": "MAREE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "2023028717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "16112054",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "POTEET",
"middle_name": "MAREE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.