Organization Active NPI

Driftless Audiology PLLC

  • Audiologist
  • Waukon, IA
National Provider Identifier
1184460933
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
DRIFTLESS AUDIOLOGY PLLC
Practice address
27 1St Ave NW
Waukon, IA 52172-1629
Phone
(563) 284-2008
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Brandi L Neuzil, AUDNPI 1144477878
Title
Audiologist/Owner
Phone
(563) 284-2008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

27 1St Ave NW
Waukon, IA 52172-1629

Mailing address

603 3Rd St NE
Waukon, IA 52172-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821003098 IA Part B Supplier - Clinic/Group Practice 7810435872 Receives reassigned benefits from 1 practitioner
Practice locations: Waukon, IA

National Provider Directory

National Provider Directory

Locations

27 1st Ave NW
Waukon, IA 52172
Phone (319) 568-3378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1184460933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 3RD ST NE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 1ST AVE NW",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721629",
            "telephone_number": "563-284-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "NEUZIL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "563-284-2008",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.