Active NPI
David Ward Yegerlehner
- Audiologist
- Santa Fe, NM
National Provider Identifier
1174748438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9688
- Practice address
- 1620 Hospital Dr
Santa Fe, NM 87505-4743 - Phone
- (505) 982-4848
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- 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 | 9688 | NM | Primary |
Addresses
Primary practice location
1620 Hospital Dr
Santa Fe, NM 87505-4743
Mailing address
1648 Alameda Blvd NW
Albuquerque, NM 87114-8807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H6834 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1248 | NM | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern New Mexico Speech and Hearing Clinic | Past | Accepting new patients | |
| Sonus-USA, Inc. | Past | Accepting new patients | |
| Angelica Audiology, LLC | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- Roswell, NM
- NPI 1144618166
-
- Audiologist-Hearing Aid Fitter
- Roswell, NM
- NPI 1396879060
-
- Audiologist-Hearing Aid Fitter
- Eugene, OR
- NPI 1780765099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174748438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 ALAMEDA BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871148807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 HOSPITAL DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054743",
"telephone_number": "505-982-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEGERLEHNER",
"first_name": "DAVID",
"middle_name": "WARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NM",
"license": "9688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H6834",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.