Organization Active NPI

Mountaineer Audiology LLC

  • Audiologist
  • Romney, WV
National Provider Identifier
1760893473
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-0070 Issued in WV
Legal business name
MOUNTAINEER AUDIOLOGY LLC
Practice address
25029 Northwestern Pike
Romney, WV 26757-6203
Phone
(304) 822-4334
Fax
(304) 822-4452
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Dr. Tara Dianne Crane, AUDNPI 1215041736
Title
Audiologist/Owner
Phone
(304) 822-4334

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X A-0070 WV Primary

Addresses

Primary practice location

25029 Northwestern Pike
Romney, WV 26757-6203

Mailing address

25029 Northwestern Pike
Romney, WV 26757-6203
Phone (304) 822-4334

Other practice location 1

166 Garber Ln # 2
Winchester, VA 22602-4386
Phone (540) 570-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140805001110 WV Part B Supplier - Clinic/Group Practice 6305063983 Receives reassigned benefits from 1 practitioner
Practice locations: Romney, WV
O20221121000562 VA Part B Supplier - Clinic/Group Practice 6305063983 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Locations

166 Garber Ln
#2
Winchester, VA 22602
Phone (540) 570-0090

166 Garber Ln
Ste 2
Winchester, VA 22602

25029 Northwestern Pike
Romney, WV 26757
Phone (304) 822-4334

24881 Old Northwest Turnpike Rd
Romney, WV 26757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1760893473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25029 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576203",
            "telephone_number": "304-822-4334",
            "fax_number": "304-822-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25029 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576203",
            "telephone_number": "304-822-4334",
            "fax_number": "304-822-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Garber Ln # 2",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226024386",
            "country_code": "US",
            "telephone_number": "540-570-0090",
            "fax_number": "304-822-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAINEER AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "304-822-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romney, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.