Active NPI
Cheyanne Waller, AUD
- Audiologist
- Lititz, PA
National Provider Identifier
1174459812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT007101
- Practice address
- 235 Bloomfield Dr Ste 108
Lititz, PA 17543-7792 - Phone
- (717) 584-8162
- NPI assigned
- Jun 22, 2026
- 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 | AT007101 | PA | Primary |
Addresses
Primary practice location
235 Bloomfield Dr Ste 108
Lititz, PA 17543-7792
Mailing address
407 Susan Ave
Strasburg, PA 17579-1042
Phone (717) 940-1606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2160 Noll Dr
Suite 100
Lancaster, PA 17603-7608
451 Ruin Creek Rd
Suite 104
Henderson, NC 27536-2878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1174459812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 SUSAN AVE",
"city": "STRASBURG",
"state": "PA",
"postal_code": "175791042",
"telephone_number": "717-940-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 BLOOMFIELD DR STE 108",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437792",
"telephone_number": "717-584-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "CHEYANNE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT007101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.