Individual provider Active NPI

Scott Wise, HA 61364303

  • Hearing Instrument Specialist
  • Ellensburg, WA
National Provider Identifier
1407531718
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA61364303 Issued in WA
Practice address
2205 W Dolarway Rd Ste 1
Ellensburg, WA 98926-8241
Phone
(509) 925-2211
NPI assigned
Jun 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA61364303 WA Primary

Addresses

Primary practice location

2205 W Dolarway Rd Ste 1
Ellensburg, WA 98926-8241

Mailing address

2205 W Dolarway Rd Ste 1
Ellensburg, WA 98926-8241
Phone (509) 925-2211

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA61364303WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Hearing Associates LLP Hearing Instrument Specialist CurrentSince Jun 18, 2023 Accepting new patients

Locations

2205 W Dolarway Rd
Ste 1
Ellensburg, WA 98926
Phone (509) 925-2211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1407531718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W DOLARWAY RD STE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268241",
            "telephone_number": "509-925-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W DOLARWAY RD STE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268241",
            "telephone_number": "509-925-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SCOTT",
        "credential": "HA 61364303",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA61364303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.