Individual provider Active NPI

Scott Lineweaver, BS

  • Audiologist
  • Chandler, AZ
National Provider Identifier
1063481950
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
HAD4173 Issued in AZ
Practice address
2040 S Alma School Rd Ste 10
Chandler, AZ 85286-7076
Phone
(888) 439-3327
Fax
(800) 682-9127
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X
Hearing Instrument Specialist 237700000X HAD4173 AZ
Audiologist 231H00000X HAD4173 AZ Primary

Addresses

Primary practice location

2040 S Alma School Rd Ste 10
Chandler, AZ 85286-7076

Mailing address

4406 E Main St Ste 103
Mesa, AZ 85205-7910
Phone (844) 432-7483

Other practice location 1

2040 S Alma School Rd Ste 10
Chandler, AZ 85286-7076
Phone (888) 439-3327

Other identifiers 1

IdentifierTypeStateIssuer
AZ0307340OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417002288 AZ Practitioner - Qualified Audiologist 1456783232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
HAD4173AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
KS Healthline, LLC Audiologist CurrentSince Dec 1, 2022 Accepting new patients
Your Complete Source, PLLC Hearing Instrument Specialist CurrentSince Mar 2, 2025 Accepting new patients

Locations

312 N Alma School Rd
Ste 8
Chandler, AZ 85224
Phone (480) 786-1555

2040 S Alma School Rd
Ste 10
Chandler, AZ 85286
Phone (480) 685-3168

4406 E Main St
Ste 103
Mesa, AZ 85205
Phone (480) 242-6247

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1063481950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 E MAIN ST STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057910",
            "telephone_number": "844-432-7483",
            "fax_number": "800-682-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD STE 10",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867076",
            "telephone_number": "888-439-3327",
            "fax_number": "800-682-9127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 S Alma School Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867076",
            "country_code": "US",
            "telephone_number": "888-439-3327",
            "fax_number": "800-682-9127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINEWEAVER",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD4173",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "HAD4173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0307340",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.