Individual provider Active NPI

Casey Redding, AU.D.

  • Audiologist
  • Kansas City, MO
National Provider Identifier
1841607405
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2014019509 Issued in MO
Practice address
4401 Wornall Rd
Kansas City, MO 64111-3241
Phone
(816) 932-3832
NPI assigned
Jul 16, 2014
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2259 KS
Audiologist 231H00000X 2014019509 MO Primary

Addresses

Primary practice location

4401 Wornall Rd
Kansas City, MO 64111-3241

Mailing address

4401 Wornall Rd
Kansas City, MO 64111-3241
Phone (816) 932-3832

Other practice location 1

3901 Rainbow Blvd # MS 3047
Kansas City, KS 66160-4619
Phone (913) 588-5760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728002189 MO Practitioner - Qualified Audiologist 2769767508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014019509MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Hospital of Kansas City Current Accepting new patients
St Lukes Hospital of Kansas City CurrentSince Apr 18, 2022 Accepting new patients
St. Luke's Hospital of Kansas City CurrentSince Apr 18, 2022 Accepting new patients
St. Luke's Hospital of Kansas City Past Accepting new patients

Locations

4320 Wornall Rd
Ste 420
Kansas City, MO 64111
Phone (816) 932-1660

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 4

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1841607405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113241",
            "telephone_number": "816-932-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113241",
            "telephone_number": "816-932-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd # MS 3047",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661604619",
            "country_code": "US",
            "telephone_number": "913-588-5760",
            "fax_number": "913-588-8948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDING",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2259",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2014019509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2022; 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.