Individual provider Active NPI

Camron Kent Meikle, AU.D

  • Audiologist
  • Bainbridge Island, WA
National Provider Identifier
1992012892
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
624 Issued in CO
Practice address
345 Knechtel Way NE Ste 120
Bainbridge Island, WA 98110-2834
Phone
(206) 842-6374
Fax
(206) 842-3180
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 624 CO Primary

Addresses

Primary practice location

345 Knechtel Way NE Ste 120
Bainbridge Island, WA 98110-2834

Mailing address

345 Knechtel Way NE Ste 120
Bainbridge Island, WA 98110-2834
Phone (206) 842-6374

Other practice location 1

115 Village Way
Port Ludlow, WA 98365-8792
Phone (360) 437-7767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212001136 WA Practitioner - Qualified Audiologist 3274708946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Village Way
Port Ludlow, WA 98365-8792
Phone (360) 437-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
624COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear for Life Audiology, LLC CurrentSince Apr 17, 2017 Accepting new patients
Meikle Audiology, LLC CurrentSince Jan 6, 2016 Accepting new patients
Colorado Ear Care LLC Audiologist PastSince Nov 21, 2024 Accepting new patients

Locations

345 Knechtel Way NE
Ste 105
Bainbridge Island, WA 98110
Phone (206) 842-6374

115 Village Way
Port Ludlow, WA 98365
Phone (360) 437-7767

Organizations & group practices 3

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992012892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE STE 120",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102834",
            "telephone_number": "206-842-6374",
            "fax_number": "206-842-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE STE 120",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102834",
            "telephone_number": "206-842-6374",
            "fax_number": "206-842-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Village Way",
            "address_purpose": "LOCATION",
            "city": "Port Ludlow",
            "state": "WA",
            "postal_code": "983658792",
            "country_code": "US",
            "telephone_number": "360-437-7767",
            "fax_number": "206-842-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIKLE",
        "first_name": "CAMRON",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.