Active NPI
Donald L Wolfe, MA, CCC-A, FAAA
- Audiologist
- Spokane Valley, WA
National Provider Identifier
1164640140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600497 | Other | WA | PREMERA BLUE CROSS |
| 7091374 | Medicaid | WA | |
| 98182 | Other | WA | HEAR PO |
| 110437 | Other | WA | LABOR & 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
| License | State | Type | Specialty |
|---|---|---|---|
| 600 348 257 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor L. Miller | Audiologist | Past | Accepting new patients |
| Professional Hearing Corporation | Past | 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.
-
- Hearing Instrument Specialist
- Spokane Valley, WA
- NPI 1881407609
-
dba Professional Hearing Healthcare, LLC
- Audiologist
- Spokane Valley, WA
- NPI 1124374103
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.