Active NPI
Angela Bateman, MA-CCC-A
- Audiologist
- Wichita, KS
National Provider Identifier
1619183282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1945
- Practice address
- 5015 E 29TH St N
Wichita, KS 67220-2110 - Phone
- (316) 978-3289
- Fax
- (316) 978-7264
- NPI assigned
- May 14, 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 | 1945 | KS | Primary |
Addresses
Primary practice location
5015 E 29TH St N
Wichita, KS 67220-2110
Mailing address
1845 Fairmount St
Wichita, KS 67260-0099
Phone (316) 978-3289
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115720 | Other | KS | BCBS |
| 14144 | Other | KS | PHS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619183282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 FAIRMOUNT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672600099",
"telephone_number": "316-978-3289",
"fax_number": "316-978-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 E 29TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672202110",
"telephone_number": "316-978-3289",
"fax_number": "316-978-7264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "ANGELA",
"credential": "MA-CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "1945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "115720",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "14144",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.