Active NPI
Letta Danielle Wesley, M.S.
- Audiologist-Hearing Aid Fitter
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU2397
- Practice address
- 1729 Tully Rd Ste 1
Modesto, CA 95350-4081 - Phone
- (209) 638-0500
- Fax
- (209) 638-0555
- NPI assigned
- Apr 17, 2008
- Last updated
- Nov 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU2397 | CA | Primary |
| Audiologist | 231H00000X | AU2397 | CA |
Addresses
Primary practice location
1729 Tully Rd Ste 1
Modesto, CA 95350-4081
Mailing address
1729 Tully Rd Ste 1
Modesto, CA 95350-4081
Phone (209) 638-0500
Other practice location 1
580 E Bellevue Rd
Atwater, CA 95301-2300
Phone (209) 638-0500
Other practice location 2
1351 Geer Rd Ste 105
Turlock, CA 95380-3269
Phone (209) 638-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
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
Practice addresses (Care Compare)
1729 Tully Rd
Suite 1
Modesto, CA 95350-4081
Phone (209) 678-1420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2397 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVHH, Inc | Audiologist | Current | Accepting new patients |
| Sacramento Hearing Services Center, Inc. | Past | Accepting new patients | |
| CSG Better Hearing Services, Inc. | Audiologist | Past | Accepting new patients |
Locations
580 E Bellevue Rd
Atwater, CA 95301
Phone (209) 638-0500
1729 Tully Rd
Ste 1
Modesto, CA 95350
Phone (209) 638-0500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CSG Better Hearing Center
- Audiologist
- Walnut Creek, CA
- NPI 1548383318
-
dba Agency For Hearing
- Voluntary or Charitable Agency
- Sacramento, CA
- NPI 1437250537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1699949883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 TULLY RD STE 1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504081",
"telephone_number": "209-638-0500",
"fax_number": "209-638-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 TULLY RD STE 1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504081",
"telephone_number": "209-638-0500",
"fax_number": "209-638-0555"
}
],
"practiceLocations": [
{
"address_1": "580 E Bellevue Rd",
"address_purpose": "LOCATION",
"city": "Atwater",
"state": "CA",
"postal_code": "953012300",
"country_code": "US",
"telephone_number": "209-638-0500",
"fax_number": "209-638-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1351 Geer Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Turlock",
"state": "CA",
"postal_code": "953803269",
"country_code": "US",
"telephone_number": "209-638-0500",
"fax_number": "209-638-0555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESLEY",
"first_name": "LETTA",
"middle_name": "DANIELLE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU2397",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2397",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.