Individual provider Active NPI

Letta Danielle Wesley, M.S.

  • Audiologist-Hearing Aid Fitter
  • Modesto, CA
National Provider Identifier
1699949883
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2397 Issued in CA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20080623000516 CA Practitioner - Qualified Audiologist 4082785894 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2397CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CVHH, Inc Audiologist CurrentSince Oct 1, 2021 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.

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.

Verify at the official NPI Registry.