Active NPI
Kenneth A Ullrich, AUD MS
- Audiologist
- Wenatchee, WA
National Provider Identifier
1285616482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- D00001397
- Practice address
- 933 Red Apple Rd
Ste 100
Wenatchee, WA 98801-3370 - Phone
- (509) 662-7143
- Fax
- (509) 665-4301
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | D00001397 | WA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X |
Addresses
Primary practice location
933 Red Apple Rd
Ste 100
Wenatchee, WA 98801-3370
Mailing address
PO Box 3027
Wenatchee, WA 98807-3027
Phone (509) 662-7143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043553 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00001397 | WA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1285616482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3027",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988073027",
"telephone_number": "509-662-7143",
"fax_number": "509-665-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 RED APPLE RD",
"address_2": "STE 100",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013370",
"telephone_number": "509-662-7143",
"fax_number": "509-665-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLRICH",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "AUD MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "D00001397",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043553",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.