Leanne Bunnell, AUDIOLOGIST
Individual provider Active NPI Audiologist · Watertown, SD
NPI 1194618249 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1194618249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 1173-A (SD)
- Practice address
- 405 18TH Ave NE
Watertown, SD 57201-8630 - Phone
- (605) 882-1591
- Fax
- (605) 753-5591
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Hearing Services Inc
Practice addresses (Care Compare)
405 18TH Ave NE
Watertown, SD 57201-8630
Phone (605) 882-1591
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250611003476 | SD | Practitioner - Qualified Audiologist | 9335659986 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1173-A | SD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Hearing Services Inc. | Audiologist | Current |
Accepting new patients |
Locations
405 18th Ave NE
Watertown, SD 57201
Phone (605) 882-1591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1173-A | SD | Yes |
Addresses
Primary practice location
405 18TH Ave NE
Watertown, SD 57201-8630
Mailing address
604 S Spruce St
Arlington, SD 57212-2216
Phone (330) 603-1832
Other providers in Watertown, SD
- Tashena Bronson
- Brown Clinic PLLP
- Brown Pharmacy LLC
- Patricia Marie Bue
- Joni Buechler-Price
- Vickie Lynn Burchatz
- Jennifer Lee Byer
- Care Anywhere
- David T. Carlson
- Amanda Renee Carter-Boomsma
All providers in Watertown, SD · Audiologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.