Organization Active NPI

Timberline Hearing, P.C.

  • Hearing Aid Equipment
  • Riverton, WY
National Provider Identifier
1003316639
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
103 Issued in WY
Legal business name
TIMBERLINE HEARING, P.C.
Practice address
218 N Broadway Ave
Riverton, WY 82501-3543
Phone
(307) 856-3847
Fax
(307) 856-7484
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Patricia E. Johnson, M.A., CCC-ANPI 1083831317
Title
Owner/H.a. Specialist/Audiologist
Phone
(307) 856-3847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 103 WY Primary

Addresses

Primary practice location

218 N Broadway Ave
Riverton, WY 82501-3543

Mailing address

218 N Broadway Ave
Riverton, WY 82501-3543
Phone (307) 856-3847

Other identifiers 1

IdentifierTypeStateIssuer
1083831317MedicaidWY

National Provider Directory

National Provider Directory

Locations

218 N Broadway Ave
Riverton, WY 82501
Phone (307) 856-3847

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1003316639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013543",
            "telephone_number": "307-856-3847",
            "fax_number": "307-856-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013543",
            "telephone_number": "307-856-3847",
            "fax_number": "307-856-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE HEARING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/H.A. SPECIALIST/AUDIOLOGIST",
        "authorized_official_telephone_number": "307-856-3847",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WY",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083831317",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.