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NPI 1396467601ActiveIndividual· Audiologist· Overland Park, KS

Audiologist in Overland Park, Kansas, trained at University of Kansas School of Med (Kc/Wich/Sal) (class of 2026). Enrolled in Medicare as practitioner - qualified audiologist and practitioner - qualified audiologist.

Overview

NPI1396467601
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 13, 2022
Last updated in NPPESJun 16, 2026
Certified by providerJun 16, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Audiologist Primary231H00000X2026026893MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Audiologist (KS); Practitioner - Qualified Audiologist (MO)

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Kansas School of Med (Kc/Wich/Sal)
Graduation year2026
Medicare specialtyQualified Audiologist

Source: CMS Care Compare

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