Individual provider Active NPI

Edith Bobbitt-Boyce, M.S., CCC-A

  • Audiologist
  • Springfield, MO
National Provider Identifier
1972650901
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2006034976 Issued in MO
Practice address
1200 E Woodhurst Dr
Suite Q-100
Springfield, MO 65804-4257
Phone
(417) 881-1010
Fax
(417) 887-4327
NPI assigned
Jan 4, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2006034976 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr
Suite Q-100
Springfield, MO 65804-4257

Mailing address

1200 E Woodhurst Dr
Suite Q-100
Springfield, MO 65804-4257
Phone (417) 881-1010

Other identifiers 1

IdentifierTypeStateIssuer
1134206550OtherMOGROUP NPI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2006034976MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hearing Center Past Accepting new patients
Ear, Nose & Throat Associates of Mountain Home, PA Audiologist PastSince May 15, 1991 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1972650901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "SUITE Q-100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044257",
            "telephone_number": "417-881-1010",
            "fax_number": "417-887-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "SUITE Q-100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044257",
            "telephone_number": "417-881-1010",
            "fax_number": "417-887-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBITT-BOYCE",
        "first_name": "EDITH",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2006034976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1134206550",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.