Active NPI
Jennyfer Wright, M.A. CFY-A
- Audiologist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60014705
- Practice address
- 4015 W Clearwater Ave
Kennewick, WA 99336-5028 - Phone
- (509) 736-4005
- Fax
- (509) 737-9525
- NPI assigned
- Feb 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD60014705 | WA | Primary |
| Audiologist | 231H00000X | IN PROCESS | WA | |
| Audiologist-Hearing Aid Fitter | 237600000X | LD60014705 | WA |
Addresses
Primary practice location
4015 W Clearwater Ave
Kennewick, WA 99336-5028
Mailing address
4015 W Clearwater Ave
Kennewick, WA 99336-5028
Phone (509) 736-4005
Other practice location 1
300 S 2nd Ave
Walla Walla, WA 99362-3035
Phone (509) 876-4541
Other practice location 2
713 Memorial St
Prosser, WA 99350-1524
Phone (509) 380-9105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN PROCESS | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LD60014705 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients |
Locations
1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222
723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
- Specialist
- Walla Walla, WA
- NPI 1518770155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1669507786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365028",
"telephone_number": "509-736-4005",
"fax_number": "509-737-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365028",
"telephone_number": "509-736-4005",
"fax_number": "509-737-9525"
}
],
"practiceLocations": [
{
"address_1": "300 S 2nd Ave",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993623035",
"country_code": "US",
"telephone_number": "509-876-4541",
"fax_number": "509-525-1998",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "713 Memorial St",
"address_purpose": "LOCATION",
"city": "Prosser",
"state": "WA",
"postal_code": "993501524",
"country_code": "US",
"telephone_number": "509-380-9105",
"fax_number": "509-737-9525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "JENNYFER",
"credential": "M.A. CFY-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60014705",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "IN PROCESS",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD60014705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.