Organization Active NPI

Horan & Fevold Hearing Clinic, PLLC

  • Audiologist
  • Wenatchee, WA
National Provider Identifier
1467774703
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00001204 Issued in WA
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

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Justin FevoldNPI 1982635934
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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20100325001057 WA Part B Supplier - Clinic/Group Practice 8325174659 Receives reassigned benefits from 1 practitioner
Practice locations: Wenatchee, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.