Individual provider Active NPI

Rachel Wahl, AU.D.

  • Audiologist
  • Coudersport, PA
National Provider Identifier
1265953327
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
353 E 2ND St
Coudersport, PA 16915-1718
Phone
(814) 274-9097
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

353 E 2ND St
Coudersport, PA 16915-1718

Mailing address

3341 Beale Ave
Altoona, PA 16601-1549
Phone (814) 944-5357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205002379 PA Practitioner - Qualified Audiologist 3971860644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Family Hearing LLCGroup PAC ID 8527386457, 4 clinicians

Practice addresses (Care Compare)

536 E 2ND St
Coudersport, PA 16915-9438
Phone (814) 274-9097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Family Hearing, LLC Audiologist CurrentSince Aug 1, 2022 Accepting new patients
Robert L. Campbell Aud Inc. Audiologist PastSince Aug 1, 2022 Accepting new patients

Locations

353 E 2nd St
Coudersport, PA 16915
Phone (814) 274-9097

536 E 2nd St
Coudersport, PA 16915
Phone (814) 274-8655

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1265953327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 BEALE AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011549",
            "telephone_number": "814-944-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151718",
            "telephone_number": "814-274-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "RACHEL",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.