Active NPI
Horan & Fevold Hearing Clinic, PLLC
- Audiologist
- Wenatchee, WA
National Provider Identifier
1467774703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00001204
- Legal business name
- HORAN & FEVOLD HEARING CLINIC, PLLC
- Practice address
- 610 N Mission St Ste 120
Wenatchee, WA 98801-2065 - Phone
- (509) 665-3100
- Fax
- (509) 665-9980
- NPI assigned
- Feb 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Fevold
- Title
- Owner
- Phone
- (509) 665-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD00001204 | WA | Primary |
Addresses
Primary practice location
610 N Mission St Ste 120
Wenatchee, WA 98801-2065
Mailing address
610 N Mission St Ste 120
Wenatchee, WA 98801-2065
Phone (509) 665-3100
Other practice location 1
423 W 3rd Ave Ste A
Moses Lake, WA 98837-3837
Phone (509) 764-8642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
423 W 3rd Ave
Ste A
Moses Lake, WA 98837
Phone (509) 764-8642
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Wenatchee, WA
- NPI 1982635934
-
- Psychiatry Physician
- The Dalles, OR
- NPI 1952478083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1467774703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MISSION ST STE 120",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012065",
"telephone_number": "509-665-3100",
"fax_number": "509-665-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MISSION ST STE 120",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012065",
"telephone_number": "509-665-3100",
"fax_number": "509-665-9980"
}
],
"practiceLocations": [
{
"address_1": "423 W 3rd Ave Ste A",
"address_purpose": "LOCATION",
"city": "Moses Lake",
"state": "WA",
"postal_code": "988373837",
"country_code": "US",
"telephone_number": "509-764-8642",
"fax_number": "509-764-8644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HORAN & FEVOLD HEARING CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-26",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "FEVOLD",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-665-3100"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "WA",
"license": "LD00001204",
"primary": true
}
],
"identifiers": [],
"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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.