Individual provider Active NPI

Minnie J Baldridge, AUD, CCC-A

  • Audiologist
  • Belton, MO
National Provider Identifier
1790719276
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1952 Issued in KS
Practice address
8424 Clint Dr
Belton, MO 64012-5329
Phone
(816) 322-8883
NPI assigned
Jul 10, 2006
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1952 KS
Hearing Instrument Specialist 237700000X 1952 KS
Audiologist 231H00000X 1952 KS Primary

Addresses

Primary practice location

8424 Clint Dr
Belton, MO 64012-5329

Mailing address

6528 Raytown Rd Ste I
Raytown, MO 64133-5023
Phone (816) 737-0055

Other practice location 1

615 W Nursery St
Butler, MO 64730-1840
Phone (816) 322-8883

Other practice location 2

17601 E US Highway 40 Ste L
Independence, MO 64055-5490
Phone (816) 373-7900

Other practice location 3

6528 Raytown Rd Ste I
Raytown, MO 64133-5023
Phone (816) 737-0055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000431 MO Practitioner - Qualified Audiologist 6507895935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians
KC Hearing Center LLCGroup PAC ID 6901266022, 6 clinicians

Practice addresses (Care Compare)

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7000

6528 Raytown Rd
Suite I
Raytown, MO 64133-5023
Phone (816) 737-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Current Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Wright Audiology and Hearing AIDS Audiologist CurrentSince May 26, 2024 Accepting new patients
Bates County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Bates County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
KC Hearing Center LLC Audiologist CurrentSince Jul 1, 2023 Accepting new patients

Locations

8424 Clint Dr
Belton, MO 64012
Phone (816) 322-8883

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

17601 E US Highway 40
Ste L
Independence, MO 64055
Phone (816) 373-7900

6528 Raytown Rd
Ste I
Raytown, MO 64133
Phone (816) 605-9855

Organizations & group practices 7

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1790719276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 RAYTOWN RD STE I",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335023",
            "telephone_number": "816-737-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125329",
            "telephone_number": "816-322-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 W Nursery St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "647301840",
            "country_code": "US",
            "telephone_number": "816-322-8883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17601 E US Highway 40 Ste L",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640555490",
            "country_code": "US",
            "telephone_number": "816-373-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6528 Raytown Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641335023",
            "country_code": "US",
            "telephone_number": "816-737-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDRIDGE",
        "first_name": "MINNIE",
        "middle_name": "J",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "1952",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "1952",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.