Active NPI
Samantha Wagner Yung, AU.D.
- Audiologist
- Cheyenne, WY
National Provider Identifier
1780035352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-1019
- Practice address
- 7215 Commons Cir Unit C
Cheyenne, WY 82009-2666 - Phone
- (307) 426-4327
- NPI assigned
- Jun 24, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A-1019 | WY | |
| Audiologist | 231H00000X | A-1019 | WY | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | A-1019 | WY | |
| Speech/Language/Hearing Specialist/Technologist | 235500000X | A-1019 | WY |
Addresses
Primary practice location
7215 Commons Cir Unit C
Cheyenne, WY 82009-2666
Mailing address
7215 Commons Cir Unit C
Cheyenne, WY 82009-2666
Phone (307) 426-4327
Other practice location 1
115 W 22nd Ave
Torrington, WY 82240-2301
Phone (307) 426-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143657100 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 W 22ND Ave
Torrington, WY 82240-2301
Phone (307) 235-1901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1019 | WY | MD | Speech/Language/Hearing Specialist/Technologist |
| 340 | NE | MD | Cardiovascular-Interventional Technology Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brant Audiology, LLC | Audiologist | Current | Accepting new patients |
Locations
1655 E 2nd St
Casper, WY 82601
Phone (307) 265-5400
115 W 22nd Ave
Torrington, WY 82240
Phone (307) 235-1901
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1780035352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 COMMONS CIR UNIT C",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820092666",
"telephone_number": "307-426-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 COMMONS CIR UNIT C",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820092666",
"telephone_number": "307-426-4327"
}
],
"practiceLocations": [
{
"address_1": "115 W 22nd Ave",
"address_purpose": "LOCATION",
"city": "Torrington",
"state": "WY",
"postal_code": "822402301",
"country_code": "US",
"telephone_number": "307-426-4327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUNG",
"first_name": "SAMANTHA",
"middle_name": "WAGNER",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-24",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WY",
"license": "A-1019",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WY",
"license": "A-1019",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "WY",
"license": "A-1019",
"primary": false
},
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "WY",
"license": "A-1019",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143657100",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.