Active NPI
Mid Missouri Audiology
- Audiologist
- Sedalia, MO
National Provider Identifier
1790933786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- MID MISSOURI AUDIOLOGY
- Practice address
- 1706 W Ninth Street
Sedalia, MO 65301-5239 - Phone
- (660) 826-0180
- Fax
- (660) 826-7812
- NPI assigned
- Sep 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Lee Goffinet, M.A., CCC-A
- Title
- Audiologist
- Phone
- (660) 826-0180
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Hearing Instrument Specialist | 237700000X |
Addresses
Primary practice location
1706 W Ninth Street
Sedalia, MO 65301-5239
Mailing address
1706 W Ninth Street
Mid Missouri Hearing Center
Sedalia, MO 65301-5239
Phone (660) 826-0180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30329011 | Other | MO | BLUE CROSS BLUE SHIELD OF KC |
Other names 1
- Mid Missouri Hearing Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1790933786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 W NINTH STREET",
"address_2": "MID MISSOURI HEARING CENTER",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015239",
"telephone_number": "660-826-0180",
"fax_number": "660-826-7812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 W NINTH STREET",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015239",
"telephone_number": "660-826-0180",
"fax_number": "660-826-7812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID MISSOURI AUDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "GOFFINET",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "660-826-0180",
"authorized_official_credential": "M.A., CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF KC",
"identifier": "30329011",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mid Missouri Hearing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.