Individual provider Active NPI

Nita Villas

  • Hearing Instrument Specialist
  • Oakland, CA
National Provider Identifier
1003532987
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8804 Issued in CA
Practice address
2201 Broadway Ste 812
Oakland, CA 94612-3024
Phone
(510) 625-8039
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 8804 CA Primary

Addresses

Primary practice location

2201 Broadway Ste 812
Oakland, CA 94612-3024

Mailing address

2201 Broadway Ste 812
Oakland, CA 94612-3024
Phone (510) 625-8039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8804CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Hearing Instrument Specialist CurrentSince Dec 6, 2022 Accepting new patients
Connect Hearing Inc Hearing Instrument Specialist CurrentSince Jul 1, 2024 Accepting new patients

Locations

2201 Broadway
Ste 812
Oakland, CA 94612
Phone (510) 625-8039

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1003532987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BROADWAY STE 812",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123024",
            "telephone_number": "510-625-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BROADWAY STE 812",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123024",
            "telephone_number": "510-625-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAS",
        "first_name": "NITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.