Individual provider Active NPI

Amy Ham Nunnelee, CCC-A

  • Assistive Technology Supplier Audiologist
  • Olathe, KS
National Provider Identifier
1861770828
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
1948 Issued in KS
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

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1948OtherKSAUDIOLOGY LICENSE
2011019423OtherMOAUDIOLOGY LICENSE

Other names 1

  • Amy Ruth Ham Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000657 KS Practitioner - Qualified Audiologist 6204001688 Reassigns benefits to 2 organizations

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
Midwest Ear Nose and Throat LLCGroup PAC ID 1557364783, 8 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

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

LicenseStateTypeSpecialty
1948KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Jan 22, 2026 Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 22, 2026 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.

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.

Verify at the official NPI Registry.