Casandra Conlee Wahl, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

10258 Issued in MN

Practice address

1528 Northway Dr
Saint Cloud, MN 56303-1287

Phone

(320) 252-0233

Fax

(320) 252-1421

NPI assigned

Oct 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Casandra L Conlee Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Louisville School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Cloud Ear Nose and Throat Clinic PAGroup PAC ID 5496774242, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• St. Cloud Ear, Nose & Throat Clinic, P.a.

  • Otolaryngology Physician
  • Saint Cloud, MN
  • NPI 1508882754
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1639777907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031287",
            "telephone_number": "320-252-0233",
            "fax_number": "320-252-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031287",
            "telephone_number": "320-252-0233",
            "fax_number": "320-252-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "CASANDRA",
        "middle_name": "CONLEE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "10258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASANDRA",
            "last_name": "CONLEE",
            "middle_name": "L",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Jane Wacker, LICSW
• Lydia M Wade, M.D.
• Adam Wagner
• Londa Sinness Wagner, MS, LMFT, IMH-E
• Meah Wagoner
• Grace Wahl
• Robert Chris Waitt, MS LP
• Kristina Mary Wakeman, PT
• Wal-Mart Stores Inc
• Wal-Mart Stores, Inc.

• Audiologist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.

Verify at the official NPI Registry.