Active NPI
Richard Layne Luekenga Jr., AU.D.
- Audiologist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5935522-4101
- Practice address
- 1054 East Riverside Dr.,
Suite 201
St George, UT 84790-4825 - Phone
- (435) 688-8991
- Fax
- (435) 688-2122
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5935522-4101 | UT | |
| Audiologist | 231H00000X | 5935522-4101 | Primary |
Addresses
Primary practice location
1054 East Riverside Dr.,
Suite 201
St George, UT 84790-4825
Mailing address
1054 East Riverside Dr
Suite 201
St George, UT 84790-4825
Phone (435) 688-8991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6362 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Louisville School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1054 E Riverside Dr
Suite 201
St George, UT 84790-4829
Phone (435) 688-8991
1742 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-4915
Phone (702) 896-0031
340 Falcon Ridge Pkwy
BLDG 500
Mesquite, NV 89027-8850
Phone (435) 688-8991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5935522-4101 | UT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Hearing & Balance Center LLC | Audiologist | Current | Accepting new patients |
| Dixie Hearing & Balance Center | Audiologist | Current | Accepting new patients |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients | |
| Alan Jones D.O. P.C. | Past | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | Past | Accepting new patients | |
| University Medical Center of Southern Nevada | Past | Accepting new patients |
Locations
1742 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 896-0031
1301 Bertha Howe Ave
Ste 6
Mesquite, NV 89027
Phone (435) 900-6001
340 Falcon Ridge Pkwy
Bldg 500
Mesquite, NV 89027
Phone (435) 688-8991
1251 Northfield Rd
Ste 202
Cedar City, UT 84721
Phone (435) 688-8991
1054 E Riverside Dr
Ste 201
St George, UT 84790
Phone (435) 628-4507
630 S 400 E
Ste 103
St George, UT 84770
Phone (435) 634-8848
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1609818905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 EAST RIVERSIDE DR",
"address_2": "SUITE 201",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904825",
"telephone_number": "435-688-8991",
"fax_number": "435-688-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 EAST RIVERSIDE DR.,",
"address_2": "SUITE 201",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904825",
"telephone_number": "435-688-8991",
"fax_number": "435-688-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEKENGA",
"first_name": "RICHARD",
"middle_name": "LAYNE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "5935522-4101",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": "5935522-4101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6362",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.