Individual provider Active NPI

Sarah Mediavilla, AUD

  • Audiologist
  • Kansas City, MO
National Provider Identifier
1669623997
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1585 Issued in KS
Practice address
8350 N Saint Clair Ave Ste 175
Kansas City, MO 64151-5100
Phone
(816) 442-7831
Fax
(816) 216-6132
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01531 MO
Audiologist 231H00000X 1594 KS
Audiologist 231H00000X 1585 KS Primary

Addresses

Primary practice location

8350 N Saint Clair Ave Ste 175
Kansas City, MO 64151-5100

Mailing address

PO Box 19087
Lenexa, KS 66285-9087
Phone (913) 262-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4240 Blue Ridge Blvd
Kansas City, MO 64133-1715

7301 Mission Rd
Suite 140
Prairie Village, KS 66204-4001

PO Box
Suite 19087
Lenexa, KS 66285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01531MOMDCounseling Psychologist
1594KSMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1669623997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19087",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662859087",
            "telephone_number": "913-262-5855",
            "fax_number": "913-262-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 N SAINT CLAIR AVE STE 175",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641515100",
            "telephone_number": "816-442-7831",
            "fax_number": "816-216-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIAVILLA",
        "first_name": "SARAH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "01531",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1594",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.