Active NPI
Ekho Audiology LLC
- Audiologist
- Bend, OR
National Provider Identifier
1760250294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- EKHO AUDIOLOGY LLC
- Practice address
- 780 NW York Dr Ste 102
Bend, OR 97703-1054 - Phone
- (541) 280-7548
- Fax
- (541) 904-8378
- NPI assigned
- Dec 14, 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
- Kelly Mankin Anderson, AUD
- Title
- Audiologist
- Phone
- (541) 280-7548
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Hearing and Speech Clinic/Center | 261QH0700X |
Addresses
Primary practice location
780 NW York Dr Ste 102
Bend, OR 97703-1054
Mailing address
780 NW York Dr Ste 102
Bend, OR 97703-1054
Phone (541) 280-7548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
320 SW Century Dr
Ste 405149
Bend, OR 97702
780 NW York Dr
Ste 102
Bend, OR 97703
Phone (541) 280-7548
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Bend, OR
- NPI 1083234710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1760250294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 NW YORK DR STE 102",
"city": "BEND",
"state": "OR",
"postal_code": "977031054",
"telephone_number": "541-280-7548",
"fax_number": "541-904-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 NW YORK DR STE 102",
"city": "BEND",
"state": "OR",
"postal_code": "977031054",
"telephone_number": "541-280-7548",
"fax_number": "541-904-8378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EKHO AUDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-14",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "MANKIN",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "541-280-7548",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.