Individual provider Active NPI

Raymon D McNiven, M.A. CCC-A

  • Audiologist
  • Spokane, WA
National Provider Identifier
1992034938
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
60120785 Issued in WA
Practice address
2309 N Division St Ste 1
Spokane, WA 99207-2110
Phone
(509) 993-6348
NPI assigned
Dec 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 60120785 WA Primary

Addresses

Primary practice location

2309 N Division St Ste 1
Spokane, WA 99207-2110

Mailing address

2309 N Division St Ste 1
Spokane, WA 99207-2110
Phone (509) 993-6348

Other identifiers 2

IdentifierTypeStateIssuer
0259611OtherWAL&I
2005965MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000464 WA Practitioner - Qualified Audiologist 5890824593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60120785WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
McNiven Hearing Centers LLC Audiologist CurrentSince Dec 6, 2023 Accepting new patients

Locations

2309 N Division St
Ste 1
Spokane, WA 99207
Phone (509) 993-6348

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1992034938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 N DIVISION ST STE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072110",
            "telephone_number": "509-993-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 N DIVISION ST STE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072110",
            "telephone_number": "509-993-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNIVEN",
        "first_name": "RAYMON",
        "middle_name": "D",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "60120785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0259611",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005965",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.

Verify at the official NPI Registry.