Individual provider Active NPI

Brenna Marie Marshall, AUD, CCC-A, FAAA

  • Audiologist
  • Lawrence, KS
National Provider Identifier
1841964103
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2424 Issued in KS
Practice address
1112 W 6TH St Ste 216
Lawrence, KS 66044-2249
Phone
(785) 841-1107
Fax
(785) 841-1173
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2424 KS Primary

Addresses

Primary practice location

1112 W 6TH St Ste 216
Lawrence, KS 66044-2249

Mailing address

1112 W 6TH St Ste 216
Lawrence, KS 66044-2249
Phone (785) 841-1107

Other practice location 1

1302 S Main St Ste 5
Ottawa, KS 66067-3533
Phone (785) 841-1107

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Balance Institute Inc CurrentSince May 20, 2024 Accepting new patients

Locations

4801 W 110th St
Ste 100
Overland Park, KS 66211
Phone (816) 246-1456

4900 S Arrowhead Dr
Ste B
Independence, MO 64055
Phone (816) 795-6999

123 NE 91st St
Kansas City, MO 64155
Phone (816) 246-1456

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841964103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 216",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-841-1107",
            "fax_number": "785-841-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 216",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-841-1107",
            "fax_number": "785-841-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 S Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660673533",
            "country_code": "US",
            "telephone_number": "785-841-1107",
            "fax_number": "785-841-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BRENNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.