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TAHOE FAMILY HEARING CLINIC, PC
NPI 1306595715
Audiologist in South Lake Tahoe, CA

Active since March 22, 2022
2074 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 318-4010 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tahoe Family Hearing Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAHOE FAMILY HEARING CLINIC, PC (NPI 1306595715) is a healthcare organization registered as an audiologist in South Lake Tahoe, California and active in the NPI registry since March 2022. The organization lists Jenelle Sandy, Owner/audiologist, as its authorized official.

NPPES Registry Identity

NPI1306595715
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameTAHOE FAMILY HEARING CLINIC, PC
Location Address2074 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6407
Mailing Address1285 Apache Ave # 306South Lake Tahoe, CA 96155-7672 · (530) 318-4010
Phone(530) 318-4010
Organization SubpartNo
Authorized OfficialJenelle SandyOwner/audiologist · (530) 318-4010
Enumeration DateMarch 22, 2022
Last NPPES UpdateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1306595715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
2074 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tahoe Family Hearing Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tahoe Family Hearing Clinic, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jenelle Sandy, AUD
Qualified Audiologist
NPI 1548548357
2074 LAKE TAHOE BLVD
South Lake Tahoe, CA 96150
(530) 318-4010
✔ Accepts MedicareSame address
Olivia Vinup, AU.D.
Qualified Audiologist
NPI 1972485118
2074 LAKE TAHOE BLVD STE 9
South Lake Tahoe, CA 96150
(530) 537-3344
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tahoe Family Hearing Clinic, PC's NPI number?

The NPI number for Tahoe Family Hearing Clinic, PC is 1306595715. It was assigned to this organization in the NPPES registry on March 22, 2022.

Where is Tahoe Family Hearing Clinic, PC located?

Tahoe Family Hearing Clinic, PC is located at 2074 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 318-4010.

What is Tahoe Family Hearing Clinic, PC's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Tahoe Family Hearing Clinic, PC enrolled in Medicare?

Yes. Tahoe Family Hearing Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tahoe Family Hearing Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Tahoe Family Hearing Clinic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tahoe Family Hearing Clinic, PC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.