Active NPI
Wanda Kay Crawford, MS CCCA
- Audiologist
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 14535
- Practice address
- 1727 Brevard Rd
Hendersonville, NC 28791-3259 - Phone
- (828) 696-8272
- Fax
- (828) 696-8790
- NPI assigned
- Feb 23, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 307156 | WI | |
| Audiologist | 231H00000X | 7961 | MN | |
| Audiologist | 231H00000X | 14535 | NC | Primary |
Addresses
Primary practice location
1727 Brevard Rd
Hendersonville, NC 28791-3259
Mailing address
411 Stageline Rd # 290
Hudson, WI 54016-7848
Phone (715) 531-6710
Other practice location 1
411 Stageline Rd # 290
Hudson, WI 54016-7848
Phone (715) 531-6710
Other practice location 2
400 8th St
North Wilkesboro, NC 28659-4130
Phone (336) 838-9530
Other practice location 3
7270 Forestview Ln N Ste 160
Maple Grove, MN 55369-5698
Phone (320) 252-0094
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144355488 | Medicaid | MN | |
| 41148500 | Medicaid | WI |
Other names 1
- Mrs. Wanda Kay Klevgard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
217 W Park Ave
Mooresville, NC 28115-2243
Phone (704) 872-1670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7961 | MN | MD | Physical Therapist |
| 307156 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Hearing and Tinnitus, PC | Current | Accepting new patients | |
| Hearing Services & Hearing Aid Center, Inc. | Past | Accepting new patients | |
| Mark a. Kenzik, M.a., Inc | Audiologist | Past | Accepting new patients |
Locations
400 8th St
North Wilkesboro, NC 28659
Phone (336) 838-9530
703 Bryant St
Statesville, NC 28677
Phone (704) 872-1670
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 and National Provider Directory roles.
-
- Hearing Aid Equipment
- Mooresville, NC
- NPI 1346775244
-
- Audiologist-Hearing Aid Fitter
- Statesville, NC
- NPI 1114009370
-
- Audiologist
- Hendersonville, NC
- NPI 1689783243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1144355488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 STAGELINE RD # 290",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"telephone_number": "715-531-6710",
"fax_number": "651-888-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 BREVARD RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913259",
"telephone_number": "828-696-8272",
"fax_number": "828-696-8790"
}
],
"practiceLocations": [
{
"address_1": "411 Stageline Rd # 290",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 8th St",
"address_purpose": "LOCATION",
"city": "North Wilkesboro",
"state": "NC",
"postal_code": "286594130",
"country_code": "US",
"telephone_number": "336-838-9530",
"fax_number": "704-878-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7270 Forestview Ln N Ste 160",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553695698",
"country_code": "US",
"telephone_number": "320-252-0094",
"fax_number": "651-888-7801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAWFORD",
"first_name": "WANDA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "MS CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "307156",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "7961",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "14535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144355488",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41148500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WANDA",
"last_name": "KLEVGARD",
"middle_name": "KAY",
"prefix": "MRS.",
"credential": "MS CCCA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.