Individual provider Active NPI

Leon Michael Prather, HIS

  • Hearing Instrument Specialist
  • Kennewick, WA
National Provider Identifier
1205546470
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA60540634 Issued in WA
Practice address
924 N Columbia Center Blvd Ste 210
Kennewick, WA 99336-7626
Phone
(509) 308-4760
Fax
(509) 572-2124
NPI assigned
Nov 29, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA60540634 WA Primary

Addresses

Primary practice location

924 N Columbia Center Blvd Ste 210
Kennewick, WA 99336-7626

Mailing address

924 N Columbia Center Blvd Ste 210
Kennewick, WA 99336-7626
Phone (509) 308-4760

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA60540634WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Audiology and Hearing AIDS, LLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

924 N Columbia Center Blvd
Ste 210
Kennewick, WA 99336
Phone (509) 308-4760

1305 Fowler St
Ste 1A
Richland, WA 99352
Phone (509) 572-2444

Organizations & group practices 1

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1205546470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N COLUMBIA CENTER BLVD STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367626",
            "telephone_number": "509-308-4760",
            "fax_number": "509-572-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N COLUMBIA CENTER BLVD STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367626",
            "telephone_number": "509-308-4760",
            "fax_number": "509-572-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "LEON",
        "middle_name": "MICHAEL",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA60540634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.