NPIMap

Organization Active NPI

Nilsson Audiology & Hearing Aid Clinic LLC

  • Audiologist-Hearing Aid Fitter
  • Port Orchard, WA
National Provider Identifier
1013286251
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
NILSSON AUDIOLOGY & HEARING AID CLINIC LLC
Practice address
3311 Bethel Rd SE
Suite 110
Port Orchard, WA 98366-5600
Phone
(360) 895-3347
Fax
(360) 895-3372
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Joy Nilsson, AU.D.NPI 1427018985
Title
Audiologist/Member
Phone
(360) 895-3347

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
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

3311 Bethel Rd SE
Suite 110
Port Orchard, WA 98366-5600

Mailing address

3311 Bethel Rd SE
Suite 110
Port Orchard, WA 98366-5600
Phone (360) 895-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000552 WA Part B Supplier - Clinic/Group Practice 0648439547 Receives reassigned benefits from 1 practitioner
Practice locations: Port Orchard, WA; Silverdale, WA

National Provider Directory

National Provider Directory

Locations

3311 Bethel Rd SE
Ste 110
Port Orchard, WA 98366
Phone (360) 895-3347

9201 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 698-4860

Practitioners & affiliated clinicians

Practitioners 11

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": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1013286251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 BETHEL RD SE",
            "address_2": "SUITE 110",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665600",
            "telephone_number": "360-895-3347",
            "fax_number": "360-895-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 BETHEL RD SE",
            "address_2": "SUITE 110",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665600",
            "telephone_number": "360-895-3347",
            "fax_number": "360-895-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILSSON AUDIOLOGY & HEARING AID CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "NILSSON",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "AUDIOLOGIST/MEMBER",
        "authorized_official_telephone_number": "360-895-3347",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.