Active NPI
Amy Ham Nunnelee, CCC-A
- Assistive Technology Supplier Audiologist
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- 1948
- Practice address
- 20375 W 151St St Ste 106
Olathe, KS 66061-5353 - Phone
- (913) 312-1774
- Fax
- (913) 764-7502
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | 2011019423 | MO | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 1948 | KS | Primary |
Addresses
Primary practice location
20375 W 151St St Ste 106
Olathe, KS 66061-5353
Mailing address
4604 W 65TH St
Prairie VLG, KS 66208-1531
Phone (816) 651-5448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1948 | Other | KS | AUDIOLOGY LICENSE |
| 2011019423 | Other | MO | AUDIOLOGY LICENSE |
Other names 1
- Amy Ruth Ham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20375 W 151St St
Suite 106
Olathe, KS 66061-5353
Phone (913) 764-2737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1948 | KS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
20375 W 151st St
Ste 106
Olathe, KS 66061
Phone (913) 764-2737
12000 W 151st St
Olathe, KS 66062
Phone (913) 588-2000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Otolaryngology Physician
- Olathe, KS
- NPI 1184622730
-
- Otolaryngology Physician
- Kansas City, KS
- NPI 1346386265
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1861770828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 W 65TH ST",
"city": "PRAIRIE VLG",
"state": "KS",
"postal_code": "662081531",
"telephone_number": "816-651-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20375 W 151ST ST STE 106",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615353",
"telephone_number": "913-312-1774",
"fax_number": "913-764-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNELEE",
"first_name": "AMY",
"middle_name": "HAM",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "MO",
"license": "2011019423",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "KS",
"license": "1948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY LICENSE",
"identifier": "1948",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY LICENSE",
"identifier": "2011019423",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "HAM",
"middle_name": "RUTH",
"credential": "CCC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.