Individual provider Active NPI

Kendra Baily, AUD

  • Audiologist
  • Yankton, SD
National Provider Identifier
1720428493
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
409 Summit St Ste 2800
Yankton, SD 57078-3735
Phone
(605) 655-1220
NPI assigned
Jun 26, 2013
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

409 Summit St Ste 2800
Yankton, SD 57078-3735

Mailing address

1000 W 4TH St Ste 8
Yankton, SD 57078-3700
Phone (605) 655-1220

Other names 1

  • Kendra Neugebauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130809000030 SD Practitioner - Qualified Audiologist 1052553781 Reassigns benefits to 1 organization
I20140711002258 NE Practitioner - Qualified Audiologist 1052553781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, shared by 17 NPIs, 151 clinicians

Practice addresses (Care Compare)

300 N 2ND St
O'Neill, NE 68763-1514
Phone (402) 336-2611

401 W Glynn Dr
Parkston, SD 57366-9605
Phone (605) 928-3311

405 W Darlene St
Avera Behavioral Health Yankton
Hartington, NE 68739-0937
Phone (402) 254-3935

409 Summit St
Yankton, SD 57078-3735

409 Summit St
Suite 3200
Yankton, SD 57078-3736
Phone (605) 655-1220

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
318NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Jun 1, 2013 Accepting new patients
Sacred Heart Health Services CurrentSince Jun 1, 2013 Accepting new patients
Sacred Heart Health Services CurrentSince Jul 1, 2014 Accepting new patients
Sacred Heart Health Services Current Accepting new patients

Locations

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

409 Summit St
Ste 2800
Yankton, SD 57078
Phone (605) 655-1910

409 Summit St
Ste 3200
Yankton, SD 57078
Phone (605) 655-1220

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1720428493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST STE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-655-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SUMMIT ST STE 2800",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783735",
            "telephone_number": "605-655-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILY",
        "first_name": "KENDRA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "NEUGEBAUER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.