Organization Active NPI

Cavenee Audiology, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tribune, KS
National Provider Identifier
1487063319
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
201087370 Issued in KS
Legal business name
CAVENEE AUDIOLOGY, LLC
Practice address
107 W Greeley Ave
Tribune, KS 67879-7711
Phone
(620) 376-2080
NPI assigned
Aug 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Rachael Cavenee, AUDIOLOGISTNPI 1407283484
Title
Owner
Phone
(620) 376-2080

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
Durable Medical Equipment & Medical Supplies 332B00000X 201087370 KS Primary

Addresses

Primary practice location

107 W Greeley Ave
Tribune, KS 67879-7711

Mailing address

107 W Greeley Ave
Tribune, KS 67879-7711
Phone (620) 376-2080

Other identifiers 1

IdentifierTypeStateIssuer
201087370MedicaidKS

National Provider Directory

National Provider Directory
Tax ID family
Cavenee Audiology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 W Greeley Ave
Tribune, KS 67879
Phone (620) 376-2080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1487063319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W GREELEY AVE",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "678797711",
            "telephone_number": "620-376-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W GREELEY AVE",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "678797711",
            "telephone_number": "620-376-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVENEE AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "CAVENEE",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-376-2080",
        "authorized_official_credential": "AUDIOLOGIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "201087370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201087370",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tribune, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.