Active NPI
McKayla Wheeler, HIS
- Hearing Instrument Specialist
- Camdenton, MO
National Provider Identifier
1871008698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2017041494
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017041494 | Other | MO | HEARING 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017041494 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear 4 Life, LLC | Current | 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.
-
- Hearing and Speech Clinic/Center
- Springfield, MO
- NPI 1710591987
-
- Hearing Aid Equipment
- Camdenton, MO
- NPI 1841530912
Hearing Instrument Specialist
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.