Organization Active NPI

Sound on Audiology LLC

  • Audiologist
  • Derby, KS
National Provider Identifier
1740175074
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
SOUND ON AUDIOLOGY LLC
Practice address
1259 N Rainbow Dr Ste 200
Derby, KS 67037-3858
Phone
(316) 295-3505
NPI assigned
Jun 9, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Stacy Schmidt
Title
Credentialing Specialist
Phone
(605) 949-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1259 N Rainbow Dr Ste 200
Derby, KS 67037-3858

Mailing address

1259 N Rainbow Dr Ste 200
Derby, KS 67037-3858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250721000711 KS Part B Supplier - Clinic/Group Practice 0648786335 Receives reassigned benefits from 1 practitioner
Practice locations: Derby, KS

National Provider Directory

National Provider Directory

Locations

1259 N Rainbow Dr
Ste 200
Derby, KS 67037
Phone (316) 295-3505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1740175074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N RAINBOW DR STE 200",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 N RAINBOW DR STE 200",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373858",
            "telephone_number": "316-295-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND ON AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "605-949-1955"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.