Northfork Speech and Hearing PC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

627 Issued in NE

Legal business name

NORTHFORK SPEECH AND HEARING PC

Doing business as

Frontier Audiology

Practice address

968 Gilchrist St
Wheatland, WY 82201-2932

Phone

(307) 322-3332

Fax

(307) 322-3623

NPI assigned

Jun 25, 2007

Last updated

Jan 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori L. Archie, AU.D.

Title

Owner

Phone

(307) 322-3332

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Frontier Audiology Doing business as

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1932305281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 GILCHRIST ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012932",
            "telephone_number": "307-322-3332",
            "fax_number": "307-322-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 GILCHRIST ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012932",
            "telephone_number": "307-322-3332",
            "fax_number": "307-322-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFORK SPEECH AND HEARING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-322-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NE",
            "license": "168",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "627",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104704301",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104704300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist-Hearing Aid Fitter in Wheatland, WY
• Providers in Wheatland, WY by specialty
• Audiologist-Hearing Aid Fitter in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.