Hearing on Main Corporation

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

8400 Issued in MN

Legal business name

HEARING ON MAIN CORPORATION

Practice address

313 Main Ave N
Thief River Falls, MN 56701-1905

Phone

(218) 689-1854

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Wendy Lyn Kjersten, AU.D.NPI 1578754230

Title

Audiologist/Owner

Phone

(218) 689-1854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Lyn Kjersten

  • Audiologist
  • Thief River Falls, MN
  • NPI 1578754230
  Medicare reassignment NPD Authorized official
• Suresh Sreedharan, M.D.

  • Pediatrics Physician
  • Thief River Falls, MN
  • NPI 1285665067
  NPD

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1003277203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CROCKER AVE N",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012316",
            "telephone_number": "218-689-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN AVE N",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567011905",
            "telephone_number": "218-689-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING ON MAIN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "KJERSTEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "218-689-1854",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "8400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Audiologist-Hearing Aid Fitter in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.