Healthcare Provider Details

I. General information

NPI: 1275278764
Provider Name (Legal Business Name): ALTA VIEW AUDIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8522 S 1300 E STE 108
SANDY UT
84094-1391
US

IV. Provider business mailing address

8522 S 1300 E STE 108
SANDY UT
84094-1391
US

V. Phone/Fax

Practice location:
  • Phone: 385-529-5603
  • Fax: 385-900-5460
Mailing address:
  • Phone: 385-529-5603
  • Fax: 385-900-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. EREK ROY WINNETT
Title or Position: AUDIOLOGIST / OWNER
Credential: AU.D.
Phone: 801-918-1441