Organization Active NPI

Wind River Hearing Services

  • Hearing Aid Equipment
  • Lander, WY
National Provider Identifier
1083803761
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
A964 Issued in WY
Legal business name
WIND RIVER HEARING SERVICES
Practice address
269 Garfield St
Lander, WY 82520-3121
Phone
(307) 332-0284
Fax
(307) 332-6334
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Celesta Cartrite Komrs, M.S.,CCC/A
Title
Audiologist
Phone
(307) 332-0284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X A964 WY Primary

Addresses

Primary practice location

269 Garfield St
Lander, WY 82520-3121

Mailing address

269 Garfield St
Lander, WY 82520-3121
Phone (307) 332-0284

Other identifiers 1

IdentifierTypeStateIssuer
311403OtherWYBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1083803761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 GARFIELD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203121",
            "telephone_number": "307-332-0284",
            "fax_number": "307-332-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GARFIELD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203121",
            "telephone_number": "307-332-0284",
            "fax_number": "307-332-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER HEARING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KOMRS",
        "authorized_official_first_name": "CELESTA",
        "authorized_official_middle_name": "CARTRITE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "307-332-0284",
        "authorized_official_credential": "M.S.,CCC/A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WY",
            "license": "A964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "311403",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.