Organization Active NPI

Cavenee Audiology, LLC

  • Audiologist
  • Tribune, KS
National Provider Identifier
1508293572
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2245 Issued in KS
Legal business name
CAVENEE AUDIOLOGY, LLC
Practice address
109 West Greeley
Tribune, KS 67879
Phone
(620) 755-2009
NPI assigned
Oct 4, 2013
Last updated
Oct 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Rachael Dawn Cavenee, AU.D.NPI 1407283484
Title
Au.D./Owner
Phone
(620) 755-2009

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
Audiologist 231H00000X 2245 KS Primary

Addresses

Primary practice location

109 West Greeley
Tribune, KS 67879

Mailing address

P.O. Box 670
Tribune, KS 67879
Phone (620) 755-2009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140328001020 KS Part B Supplier - Clinic/Group Practice 9335370758 Receives reassigned benefits from 1 practitioner
Practice locations: Tribune, KS

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": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1508293572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 670",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "67879",
            "telephone_number": "620-755-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WEST GREELEY",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "67879",
            "telephone_number": "620-755-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVENEE AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "CAVENEE",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "AU.D./OWNER",
        "authorized_official_telephone_number": "620-755-2009",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 21, 2013; 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.