Individual provider Active NPI

Jessica Johnson, AUD

  • Audiologist
  • Kansas City, MO
National Provider Identifier
1720666480
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2024028466 Issued in MO
Practice address
8640 N Green Hills Rd Ste 43
Kansas City, MO 64154-1903
Phone
(816) 800-8020
Fax
(816) 800-8029
NPI assigned
Apr 1, 2021
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X 5603 OK
Audiologist 231H00000X 2024028466 MO Primary

Addresses

Primary practice location

8640 N Green Hills Rd Ste 43
Kansas City, MO 64154-1903

Mailing address

6650 W 110TH St Ste 330
Overland Park, KS 66211-1798
Phone (913) 521-9090

Other names 1

  • Jessica Whitfill Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240821002453 MO Practitioner - Qualified Audiologist 3870998685 Reassigns benefits to 1 organization
I20240921000312 KS Practitioner - Qualified Audiologist 3870998685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing and Balance Specialists of Kansas City LLCGroup PAC ID 0840575650, 10 clinicians

Practice addresses (Care Compare)

6650 W 110TH St
Suite 330
Overland Park, KS 66211-1798
Phone (913) 521-9090

8640 N Green Hills Rd
Suite 43
Kansas City, MO 64154-1903
Phone (816) 800-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2514KSMDClinical Social Worker
5603OKMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing and Balance Specialists of Kansas City LLC Audiologist CurrentSince Aug 1, 2024 Accepting new patients
The Scholl Center for Communication Disorders CurrentSince Mar 7, 2022 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC PastSince Mar 7, 2022 Accepting new patients

Locations

6650 W 110th St
Ste 330
Overland Park, KS 66211
Phone (913) 521-9090

8640 N Green Hills Rd
Ste 43
Kansas City, MO 64154
Phone (816) 800-8020

458 NE State Route 291
Lees Summit, MO 64086
Phone (816) 507-8885

3105 S Harvard Ave
Tulsa, OK 74135
Phone (918) 508-7601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

Organizations & group practices 3

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1720666480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111798",
            "telephone_number": "913-521-9090",
            "fax_number": "913-521-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 N GREEN HILLS RD STE 43",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541903",
            "telephone_number": "816-800-8020",
            "fax_number": "816-800-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "5603",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2024028466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHITFILL",
            "credential": "AUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 15, 2024; 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.