Individual provider Active NPI

Rachael Kristine Redford, AUD

  • Audiologist
  • Bountiful, UT
National Provider Identifier
1255174744
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5182000-4101 Issued in UT
Practice address
415 Medical Dr Ste A202
Bountiful, UT 84010-4971
Phone
(801) 298-4327
Fax
(801) 298-4328
NPI assigned
Jun 13, 2024
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5182000-4101 UT Primary
Audiologist-Hearing Aid Fitter 237600000X 5182000-4101 UT

Addresses

Primary practice location

415 Medical Dr Ste A202
Bountiful, UT 84010-4971

Mailing address

415 Medical Dr Ste A202
Bountiful, UT 84010-4971
Phone (801) 298-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725004281 UT Practitioner - Qualified Audiologist 2264978238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luekenga Way LLCGroup PAC ID 6800161324, 2 clinicians

Practice addresses (Care Compare)

415 Medical Dr
Suite A202
Bountiful, UT 84010-4971
Phone (801) 298-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5182000-4101UTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Luekenga Way, LLC Audiologist CurrentSince Aug 22, 2025 Accepting new patients
Sharp Hearing LLC Audiologist CurrentSince Jul 17, 2024 Accepting new patients

Locations

415 Medical Dr
Ste A202
Bountiful, UT 84010
Phone (801) 298-3247

140 W 2100 S
Ste 120
Salt Lake City, UT 84115
Phone (801) 484-3277

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 2

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1255174744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE A202",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104971",
            "telephone_number": "801-298-4327",
            "fax_number": "801-298-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE A202",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104971",
            "telephone_number": "801-298-4327",
            "fax_number": "801-298-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFORD",
        "first_name": "RACHAEL",
        "middle_name": "KRISTINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "5182000-4101",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "5182000-4101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.