Spencer K Lifferth, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

97419074101 Issued in UT

Practice address

755 W Antelope Dr
Layton, UT 84041-1630

Phone

(385) 383-7162

Fax

(385) 383-7113

NPI assigned

Oct 16, 2012

Reactivated

Feb 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, WY2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ogden Audiology Services LLCGroup PAC ID 0446401194, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ogden Audiology Services LLC

  • Audiologist
  • Ogden, UT
  • NPI 1811040140

  WY

  Medicare reassignment Care Compare group NPD
• Shoshone Paiute Tribes

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Owyhee, NV
  • NPI 1912205378
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1982957817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 S ADAMS AVE PKWY",
            "address_2": "SUITE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-479-3346",
            "fax_number": "801-479-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411630",
            "telephone_number": "385-383-7162",
            "fax_number": "385-383-7113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1573 Dewar Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015933",
            "country_code": "US",
            "telephone_number": "307-362-8221",
            "fax_number": "833-604-0256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Overthrust Rd",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829309261",
            "country_code": "US",
            "telephone_number": "307-362-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIFFERTH",
        "first_name": "SPENCER",
        "middle_name": "K",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "deactivation_date": "2019-01-22",
        "reactivation_date": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "97419074101",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WY",
            "license": "A-1086",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "97419074101",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A-1086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Layton, UT
• Providers in Layton, UT by specialty
• Audiologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.