Active NPI
Stacey M Baldwin, AUD CCC A
- Audiologist
- Prairie Village, KS
National Provider Identifier
1629131487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2130 | KS | MD | Professional Counselor |
| 1325 | KS | MD | Audiologist |
| 1994 | KS | MD | Audiologist |
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.