Individual provider Active NPI

Elisabeth McKenna Went, AUD

  • Audiologist
  • Poulsbo, WA
National Provider Identifier
1235749250
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61081204 Issued in WA
Practice address
19319 7TH Ave NE, Suite #102
Poulsbo, WA 98370
Phone
(360) 697-3061
Fax
(360) 697-2116
NPI assigned
Aug 4, 2020
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD61081204 WA Primary

Addresses

Primary practice location

19319 7TH Ave NE, Suite #102
Poulsbo, WA 98370

Mailing address

19319 7TH Ave NE, Suite #102
Poulsbo, WA 98370
Phone (360) 697-3061

Other identifiers 1

IdentifierTypeStateIssuer
0454758OtherWAWA L & I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TN, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210614002150 WA Practitioner - Qualified Audiologist 3870993819 Reassigns benefits to 1 organization
I20241024002591 TN Practitioner - Qualified Audiologist 3870993819
I20250818000179 VA Practitioner - Qualified Audiologist 3870993819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Suite 260
Newport News, VA 23606-4390
Phone (757) 825-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD61081204WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Hearing Inc Audiologist CurrentSince Mar 15, 2024 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC CurrentSince Jul 1, 2025 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC Past Accepting new patients

Locations

5659 Parkway Dr
Ste 130
Gloucester, VA 23061
Phone (757) 873-0338

5659 Parkway Dr
Ste 240
Gloucester, VA 23061
Phone (757) 825-2500

901 Enterprise Pkwy
Ste 300
Hampton, VA 23666
Phone (757) 825-2500

11803 Jefferson Ave
Ste 260
Newport News, VA 23606
Phone (757) 436-0909

1308 W Sims Way
Port Townsend, WA 98368
Phone (360) 379-5458

19319 7th Ave NE
Ste 102
Poulsbo, WA 98370
Phone (360) 697-2116

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1235749250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19319 7TH AVE NE, SUITE #102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-697-3061",
            "fax_number": "360-697-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19319 7TH AVE NE, SUITE #102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-697-3061",
            "fax_number": "360-697-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENT",
        "first_name": "ELISABETH",
        "middle_name": "MCKENNA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-10-18",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61081204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I",
            "identifier": "0454758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.