NPIMap

Organization Active NPI

East Cascade Audiology PLLC

Doing business as Northwest Audiology and Hearing Aid Center

  • Audiologist
  • Ellensburg, WA
National Provider Identifier
1497393235
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
EAST CASCADE AUDIOLOGY PLLC
Doing business as
Northwest Audiology and Hearing Aid Center
Practice address
601 N Main St Ste 1
Ellensburg, WA 98926-6305
Phone
(509) 962-9575
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Jenci Randall, AU.D.NPI 1073917951
Title
Owner/Audiologist
Phone
(419) 234-6629

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 Primary

Addresses

Primary practice location

601 N Main St Ste 1
Ellensburg, WA 98926-6305

Mailing address

PO Box 880
Cle Elum, WA 98922-0880
Phone (419) 234-6629

Other names 1

  • Northwest Audiology and Hearing Aid Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501000989 WA Part B Supplier - Clinic/Group Practice 2365872546 Receives reassigned benefits from 1 practitioner
Practice locations: Cle Elum, WA; Ellensburg, WA

National Provider Directory

National Provider Directory

Locations

110 S Oakes Ave
Ste 130
Cle Elum, WA 98922
Phone (509) 962-9575

601 N Main St
Ste 1
Ellensburg, WA 98926
Phone (509) 962-9575

Practitioners & affiliated clinicians

Practitioners 4

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": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1497393235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989220880",
            "telephone_number": "419-234-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST STE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989266305",
            "telephone_number": "509-962-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CASCADE AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JENCI",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "419-234-6629",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Audiology and Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2019; 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.