Individual provider Active NPI

Jill Wyant, AUD

  • Audiologist-Hearing Aid Fitter
  • Las Vegas, NV
National Provider Identifier
1801994991
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
119-A Issued in NV
Practice address
6850 N Durango Dr Ste 314
Las Vegas, NV 89149-4598
Phone
(702) 834-5886
Fax
(702) 834-5752
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 119-A NV Primary

Addresses

Primary practice location

6850 N Durango Dr Ste 314
Las Vegas, NV 89149-4598

Mailing address

6850 N Durango Dr Ste 314
Las Vegas, NV 89149-4598
Phone (702) 834-5886

Other practice location 1

1905 McDaniel St Ste 104
N Las Vegas, NV 89030-7170
Phone (702) 838-9710

Other practice location 2

3201 S Maryland Pkwy Ste 500
Las Vegas, NV 89109
Phone (702) 369-3066

Other practice location 3

3201 S Maryland Pkwy Ste 500
Las Vegas, NV 89109
Phone (702) 369-3066

Other identifiers 1

IdentifierTypeStateIssuer
1801994991MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000862 NV Practitioner - Qualified Audiologist 8224179148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ear Nose and Throat-Head and Neck Surgery LLCGroup PAC ID 7911344460, 3 clinicians

Practice addresses (Care Compare)

6850 N Durango Dr
Suite 314
Las Vegas, NV 89149-4598
Phone (702) 834-5886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119-ANVMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ear Nose & Throat-Head and Neck Surgery LLC CurrentSince Apr 9, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

6955 N Durango Dr
Ste 1115363
Las Vegas, NV 89149

6850 N Durango Dr
Ste 314
Las Vegas, NV 89149
Phone (702) 834-5886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20402/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIEBA

Organizations & group practices 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1801994991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 314",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494598",
            "telephone_number": "702-834-5886",
            "fax_number": "702-834-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 314",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494598",
            "telephone_number": "702-834-5886",
            "fax_number": "702-834-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 McDaniel St Ste 104",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890307170",
            "country_code": "US",
            "telephone_number": "702-838-9710",
            "fax_number": "702-838-9705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Maryland Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89109",
            "country_code": "US",
            "telephone_number": "702-369-3066",
            "fax_number": "702-369-7429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Maryland Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89109",
            "country_code": "US",
            "telephone_number": "702-369-3066",
            "fax_number": "702-369-7429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYANT",
        "first_name": "JILL",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "119-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801994991",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.