Active NPI
Kay Rabbitt Park, AUD
- Audiologist
- Saint Louis, MO
National Provider Identifier
1801879432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1053
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-4847
- Fax
- (314) 251-5992
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1053 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
9888 Old Warson Rd
Saint Louis, MO 63124-1068
Phone (314) 251-4847
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3923C1 | Other | MO | BLUE CROSS BLUE SHEILD-PP |
| 152209 | Other | MO | BLUE CHOICE-HMO |
| 3923C2 | Other | MO | BCBS-PPO WASHINGTON |
| 33336410 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1053 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newborn Hearing Services, LLC | Audiologist | Past | Accepting new patients |
| Newborn Hearing Services-MB, Inc | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Saint Louis, MO
- NPI 1841316791
-
- Audiologist
- Saint Louis, MO
- NPI 1073639357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1801879432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9888 OLD WARSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241068",
"telephone_number": "314-251-4847",
"fax_number": "314-251-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-4847",
"fax_number": "314-251-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "KAY",
"middle_name": "RABBITT",
"name_prefix": "Ms.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "1053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD-PP",
"identifier": "3923C1",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE-HMO",
"identifier": "152209",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-PPO WASHINGTON",
"identifier": "3923C2",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33336410",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.