Individual provider Active NPI

Seneca Ryan Baller

  • Audiologist
  • Kennewick, WA
National Provider Identifier
1346089190
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
8102 W Grandridge Blvd Ste a
Kennewick, WA 99336-7157
Phone
(509) 735-7461
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

8102 W Grandridge Blvd Ste a
Kennewick, WA 99336-7157

Mailing address

8180 W 4TH Ave Apt I106
Kennewick, WA 99336-8605
Phone (712) 635-7902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904003567 WA Practitioner - Qualified Audiologist 1658811716 Reassigns benefits to 1 organization

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
Audiology Center IncGroup PAC ID 8426947839, 5 clinicians

Practice addresses (Care Compare)

8102 W Grandridge Blvd
Suite a
Kennewick, WA 99336-7157
Phone (509) 735-7461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Center Inc. Audiologist CurrentSince Aug 28, 2024 Accepting new patients

Locations

8102 W Grandridge Blvd
#A
Kennewick, WA 99336
Phone (509) 735-7461

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": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1346089190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 W 4TH AVE APT I106",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368605",
            "telephone_number": "712-635-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 W GRANDRIDGE BLVD STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367157",
            "telephone_number": "509-735-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLER",
        "first_name": "SENECA",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "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 May 21, 2024; 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.