Individual provider Active NPI

McKayla Wheeler, HIS

  • Hearing Instrument Specialist
  • Camdenton, MO
National Provider Identifier
1871008698
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2017041494 Issued in MO
Practice address
648 N Business Route 5
Camdenton, MO 65020-2642
Phone
(573) 346-4500
Fax
(573) 346-0480
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 2017041494 MO Primary

Addresses

Primary practice location

648 N Business Route 5
Camdenton, MO 65020-2642

Mailing address

2719 W Walnut St
Springfield, MO 65802-4744
Phone (417) 840-8207

Other identifiers 1

IdentifierTypeStateIssuer
2017041494OtherMOHEARING INSTRUMENT SPECIALIST

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

LicenseStateTypeSpecialty
2017041494MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear 4 Life, LLC CurrentSince Sep 6, 2020 Accepting new patients
Lake Professional Hearing Aid Center Hearing Instrument Specialist 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.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1871008698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658024744",
            "telephone_number": "417-840-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N BUSINESS ROUTE 5",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650202642",
            "telephone_number": "573-346-4500",
            "fax_number": "573-346-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MCKAYLA",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2017041494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INSTRUMENT SPECIALIST",
            "identifier": "2017041494",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camdenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.