Individual provider Active NPI

Stacey M Baldwin, AUD CCC A

  • Audiologist
  • Prairie Village, KS
National Provider Identifier
1629131487
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1994 Issued in KS
Practice address
7301 Mission Rd Ste 140
Prairie Village, KS 66208-3005
Phone
(913) 262-5855
Fax
(913) 262-5869
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1994 KS Primary
Audiologist 231H00000X 1325 KS

Addresses

Primary practice location

7301 Mission Rd Ste 140
Prairie Village, KS 66208-3005

Mailing address

7301 Mission Rd Ste 146
Prairie Village, KS 66208-3005
Phone (913) 384-2105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070329000118 KS Practitioner - Qualified Audiologist 2961506027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Audiologists Inc 15 clinicians

Practice addresses (Care Compare)

12541 Foster St
Suite 220
Overland Park, KS 66213-2301
Phone (913) 498-2827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2130KSMDProfessional Counselor
1325KSMDAudiologist
1994KSMDAudiologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1629131487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD STE 146",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083005",
            "telephone_number": "913-384-2105",
            "fax_number": "913-384-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD STE 140",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083005",
            "telephone_number": "913-262-5855",
            "fax_number": "913-262-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "STACEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AUD CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1994",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.