Active NPI
Steven R Forsey, AUD
- Audiologist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8006991-4101
- Practice address
- 1055 N 300 W Ste 211
Provo, UT 84604-3374 - Phone
- (801) 852-9684
- Fax
- (385) 476-8446
- NPI assigned
- Aug 19, 2011
- Last updated
- Mar 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 8006991-4101 | UT | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 8006991-4101 | UT |
Addresses
Primary practice location
1055 N 300 W Ste 211
Provo, UT 84604-3374
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
395 W Cougar Blvd Ste 501
Provo, UT 84604-3323
Phone (801) 357-4945
Other practice location 2
692 E Market Place Dr Ste 201
Spanish Fork, UT 84660-1480
Phone (385) 448-0446
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N 300
Suite 211
Provo, UT 84604-3374
Phone (801) 852-9696
395 W Bulldog Blvd
Suite 501
Provo, UT 84604-3323
Phone (801) 357-7323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8006991-4101 | UT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak ENT Associates | Audiologist | Current | Accepting new patients |
| Ogden Audiology Services LLC | Audiologist | Current | Accepting new patients |
Locations
3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070
48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000
5349 Adams Avenue Pkwy
#C
Ogden, UT 84405
Phone (801) 479-0725
1055 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 852-9684
1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646
692 E Market Place Dr
Ste 201
Spanish Fork, UT 84660
Phone (385) 448-0446
Organizations & group practices 3
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.
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- NPI 1346489036
Audiologist
-
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- Sandy, UT
- NPI 1942325154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1053691246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 300 W STE 211",
"city": "PROVO",
"state": "UT",
"postal_code": "846043374",
"telephone_number": "801-852-9684",
"fax_number": "385-476-8446"
}
],
"practiceLocations": [
{
"address_1": "395 W Cougar Blvd Ste 501",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846043323",
"country_code": "US",
"telephone_number": "801-357-4945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "692 E Market Place Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Spanish Fork",
"state": "UT",
"postal_code": "846601480",
"country_code": "US",
"telephone_number": "385-448-0446",
"fax_number": "385-476-8448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORSEY",
"first_name": "STEVEN",
"middle_name": "R",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "8006991-4101",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "UT",
"license": "8006991-4101",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.