Innovative Audiology and Hearing Clinic LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

INNOVATIVE AUDIOLOGY AND HEARING CLINIC LLC

Doing business as

Platinum Hearing

Practice address

7629 E Pinnacle Peak Rd Ste 118
Scottsdale, AZ 85255-6292

Phone

(602) 283-3823

Fax

(480) 701-8604

NPI assigned

Oct 20, 2017

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen M Clark, AU.D.NPI 1134385933

Title

Owner

Phone

(602) 283-3823

Specialties & licenses 2

Addresses

Other names 1

• Platinum Hearing Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen M Clark, AUD

  • Audiologist
  • Scottsdale, AZ
  • NPI 1134385933
  Medicare reassignment Authorized official
• Rhonda Lynne Casey, ANP

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1255696266
  NPD
• Kurt Angus Smalls-Walker, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1225556293
  NPD

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1003327719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 E PINNACLE PEAK RD STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556292",
            "telephone_number": "602-283-3823",
            "fax_number": "480-701-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 E PINNACLE PEAK RD STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556292",
            "telephone_number": "602-283-3823",
            "fax_number": "480-701-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE AUDIOLOGY AND HEARING CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-283-3823",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing and Speech Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Hearing and Speech Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.