Active NPI
Legacy Audiology
- Audiologist
- Rock Springs, WY
National Provider Identifier
1699553578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- LEGACY AUDIOLOGY
- Doing business as
- Legacy Audiology
- Practice address
- 1038 Cypress Cir
Rock Springs, WY 82901-4100 - Phone
- (307) 371-0789
- NPI assigned
- Sep 20, 2023
- Last updated
- Oct 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Libby Mehle, AUD
- Title
- Co-Ower/ Audiologist
- Phone
- (307) 371-0789
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | Primary |
Addresses
Primary practice location
1038 Cypress Cir
Rock Springs, WY 82901-4100
Mailing address
1208 Hilltop Dr Ste 105
Rock Springs, WY 82901-5858
Phone (307) 522-5410
Other names 1
- Legacy Audiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1208 Hilltop Dr
Ste 105
Rock Springs, WY 82901
Phone (307) 382-8644
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Audiologist
- Rock Springs, WY
- NPI 1447609193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698192000000",
"number": "1699553578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 HILLTOP DR STE 105",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015858",
"telephone_number": "307-522-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 CYPRESS CIR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014100",
"telephone_number": "307-371-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY AUDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2023-10-25",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "MEHLE",
"authorized_official_first_name": "LIBBY",
"authorized_official_title_or_position": "CO-OWER/ AUDIOLOGIST",
"authorized_official_telephone_number": "307-371-0789",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Audiology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Legacy Audiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.