Individual provider Active NPI

Andrew K Hague, AU.D., CCC-A

  • Audiologist
  • Kennewick, WA
National Provider Identifier
1770920373
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
8102 W Grandridge Blvd
Suite a
Kennewick, WA 99336-7157
Phone
(509) 735-7461
Fax
(509) 783-8167
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

8102 W Grandridge Blvd
Suite a
Kennewick, WA 99336-7157

Mailing address

8102 W Grandridge Blvd
Suite a
Kennewick, WA 99336-7157
Phone (509) 735-7461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130726000016 WA Practitioner - Qualified Audiologist 5890936314 Reassigns benefits to 1 organization
I20250115003775 ID Practitioner - Qualified Audiologist 5890936314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of South Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Center IncGroup PAC ID 8426947839, 5 clinicians

Practice addresses (Care Compare)

700 W Ironwood Dr
Suite 262
Coeur D Alene, ID 83814-4400
Phone (208) 765-4961

8102 W Grandridge Blvd
Suite a
Kennewick, WA 99336-7157
Phone (509) 735-7461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1770920373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 W GRANDRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367157",
            "telephone_number": "509-735-7461",
            "fax_number": "509-783-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 W GRANDRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367157",
            "telephone_number": "509-735-7461",
            "fax_number": "509-783-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGUE",
        "first_name": "ANDREW",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.