Individual provider Active NPI

Kenneth D Evans

  • Audiologist
  • Missoula, MT
National Provider Identifier
1194168013
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3095 Issued in MT
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194168013MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3295MTMDPharmacist
3095MTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Sound Works, Inc Audiologist CurrentSince Mar 30, 2025 Accepting new patients
Great Falls Clinic LLC CurrentSince Jan 15, 2016 Accepting new patients
Longs Peak Audiology, LLC Audiologist PastSince Feb 7, 2023 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

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.