Individual provider Active NPI

Donald L Wolfe, MA, CCC-A, FAAA

  • Audiologist
  • Spokane Valley, WA
National Provider Identifier
1164640140
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
12211 E Broadway Ave Ste 4
Spokane Valley, WA 99206-6132
Phone
(509) 924-3459
Fax
(509) 924-3459
NPI assigned
Apr 23, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X WA Primary

Addresses

Primary practice location

12211 E Broadway Ave Ste 4
Spokane Valley, WA 99206-6132

Mailing address

12211 E Broadway Ave Ste 4
Spokane Valley, WA 99206-6132
Phone (509) 924-3459

Other identifiers 4

IdentifierTypeStateIssuer
600497OtherWAPREMERA BLUE CROSS
7091374MedicaidWA
98182OtherWAHEAR PO
110437OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
600 348 257WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Victor L. Miller Audiologist Past Accepting new patients
Professional Hearing Corporation PastSince Feb 2, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164640140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 E BROADWAY AVE STE 4",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066132",
            "telephone_number": "509-924-3459",
            "fax_number": "509-924-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 E BROADWAY AVE STE 4",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066132",
            "telephone_number": "509-924-3459",
            "fax_number": "509-924-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "MA, CCC-A, FAAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "600497",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091374",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEAR PO",
            "identifier": "98182",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "110437",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.