Active NPI
Kenneth D Evans
- Audiologist
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3095
- Practice address
- 317 S Orange St
Missoula, MT 59801-1810 - Phone
- (406) 549-1951
- Fax
- (406) 542-5682
- NPI assigned
- Apr 10, 2013
- Last updated
- Mar 28, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3295 | MT | |
| Audiologist | 231H00000X | 3095 | MT | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 3095 | MT |
Addresses
Primary practice location
317 S Orange St
Missoula, MT 59801-1810
Mailing address
317 S Orange St
Missoula, MT 59801-1810
Phone (406) 549-1951
Other practice location 1
299 Fairgrounds Rd Unit 4
Hamilton, MT 59840-3199
Phone (406) 549-1951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194168013 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.98 of 100
- Quality
- 80.39
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3295 | MT | MD | Pharmacist |
| 3095 | MT | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrant Sound Works, Inc | Audiologist | Current | Accepting new patients |
| Great Falls Clinic LLC | Current | Accepting new patients | |
| Longs Peak Audiology, LLC | Audiologist | Past | Accepting new patients |
Locations
1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570
3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102
299 Fairgrounds Rd
Unit 4
Hamilton, MT 59840
317 S Orange St
Missoula, MT 59801
Interoperability endpoints
- https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1801897780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1194168013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 S ORANGE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011810",
"telephone_number": "406-549-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S ORANGE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011810",
"telephone_number": "406-549-1951",
"fax_number": "406-542-5682"
}
],
"practiceLocations": [
{
"address_1": "299 Fairgrounds Rd Unit 4",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "MT",
"postal_code": "598403199",
"country_code": "US",
"telephone_number": "406-549-1951",
"fax_number": "406-542-5682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "KENNETH",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MT",
"license": "3295",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MT",
"license": "3095",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MT",
"license": "3095",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194168013",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
- John Espy, LCSW
- Kelly R Etzel
- Suzanne Evans Goold, LCSW
- Amber Evans
- Elliott Margaret Evans, SWLC
- Nancy L Everett, CNM
- Skye Kendall Everett, DPT
- Wade A Everett
- Evergreen at Missoula, L.L.C. (Missoula Health and Rehabilitation Center)
- Evergreen at Missoula, L.L.C. (Missoula Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.