Individual provider Active NPI

Lisa R Cowdrey, MA, CCC-A

  • Audiologist
  • Kansas City, MO
National Provider Identifier
1982669099
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2001006198 Issued in MO
Practice address
4200 Pennsylvania Ave
Suite 100
Kansas City, MO 64111-6913
Phone
(816) 932-1660
Fax
(816) 932-1675
NPI assigned
Apr 20, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2001006198 MO Primary

Addresses

Primary practice location

4200 Pennsylvania Ave
Suite 100
Kansas City, MO 64111-6913

Mailing address

4200 Pennsylvania Ave
Suite 100
Kansas City, MO 64111-6913
Phone (816) 932-1660

Other identifiers 2

IdentifierTypeStateIssuer
100386030AMedicaidKS
335321105MedicaidMO

Other names 1

  • Lisa R Buckler Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
2001006198MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Ear Institute Inc Audiologist Past Accepting new patients

Organizations & group practices 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1982669099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PENNSYLVANIA AVE",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641116913",
            "telephone_number": "816-932-1660",
            "fax_number": "816-932-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PENNSYLVANIA AVE",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641116913",
            "telephone_number": "816-932-1660",
            "fax_number": "816-932-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWDREY",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2001006198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100386030A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335321105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BUCKLER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.