Active NPI
Elizabeth Dare, AU.D., CCC-A
- Audiologist
- Klamath Falls, OR
National Provider Identifier
1487714432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 1475
- Practice address
- 1665 Dayton St
Klamath Falls, OR 97603-3805 - Phone
- (541) 884-4428
- Fax
- (541) 850-3847
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 1475 | OR | Primary |
Addresses
Primary practice location
1665 Dayton St
Klamath Falls, OR 97603-3805
Mailing address
1665 Dayton St
Klamath Falls, OR 97603-3805
Phone (541) 884-4428
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1475 | OR | MD | Clinical Psychologist |
| AU 1475 | OR | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1487714432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 DAYTON ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976033805",
"telephone_number": "541-884-4428",
"fax_number": "541-850-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 DAYTON ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976033805",
"telephone_number": "541-884-4428",
"fax_number": "541-850-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARE",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "AU 1475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.