Active NPI
Kevin W Hague, M.A., CCC-A
- Audiologist
- Kennewick, WA
National Provider Identifier
1780698597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- CD00000983
- Practice address
- 8102 W. Grandridge Blvd
Suite a
Kennewick, WA 99336 - Phone
- (509) 735-7461
- Fax
- (509) 783-8167
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | CD00000983 | WA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | CD00000983 | WA |
Addresses
Primary practice location
8102 W. Grandridge Blvd
Suite a
Kennewick, WA 99336
Mailing address
8102 W. Grandridge Blvd
Suite a
Kennewick, WA 99336
Phone (509) 735-7461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8338394 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CD00000983 | WA | MD | Audiologist |
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": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1780698597",
"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": "99336",
"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": "99336",
"telephone_number": "509-735-7461",
"fax_number": "509-783-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGUE",
"first_name": "KEVIN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "CD00000983",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "CD00000983",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8338394",
"state": "WA"
}
],
"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 Jan 22, 2013; 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.