Active NPI
Jenci Randall, AU.D.
- Audiologist
- Ellensburg, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60518616
- Practice address
- 601 N Main St Ste 1
Ellensburg, WA 98926-6305 - Phone
- (509) 962-9575
- NPI assigned
- Oct 21, 2014
- Last updated
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD60518616 | WA | Primary |
Addresses
Primary practice location
601 N Main St Ste 1
Ellensburg, WA 98926-6305
Mailing address
PO Box 880
Cle Elum, WA 98922-0880
Phone (419) 234-6629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
601 N Main St
Suite 1
Ellensburg, WA 98926-6305
Phone (509) 962-9575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cascade Audiology PLLC | Audiologist | Current | Accepting new patients |
Locations
110 S Oakes Ave
Ste 130
Cle Elum, WA 98922
Phone (509) 962-9575
601 N Main St
Ste 1
Ellensburg, WA 98926
Phone (509) 962-9575
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.
-
dba Northwest Audiology and Hearing Aid Center
- Audiologist
- Ellensburg, WA
- NPI 1497393235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1073917951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880",
"city": "CLE ELUM",
"state": "WA",
"postal_code": "989220880",
"telephone_number": "419-234-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N MAIN ST STE 1",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989266305",
"telephone_number": "509-962-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "JENCI",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60518616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.