Organization Active NPI

Island Hearing Healthcare, LLC

  • Audiologist
  • Friday Harbor, WA
National Provider Identifier
1023316981
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00004410 Issued in WA
Legal business name
ISLAND HEARING HEALTHCARE, LLC
Practice address
545 Spring St
Friday Harbor, WA 98250
Phone
(360) 378-2330
Fax
(360) 378-9556
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Stacie Baisch, AU.D., CCC-A
Title
Owner/ Doctor of Audiology
Phone
(360) 378-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00004410 WA Primary

Addresses

Primary practice location

545 Spring St
Friday Harbor, WA 98250

Mailing address

370 Spruce St
Friday Harbor, WA 98250-8061
Phone (360) 378-2330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110412001003 WA Part B Supplier - Clinic/Group Practice 8123202389 Receives reassigned benefits from 1 practitioner
Practice locations: Friday Harbor, WA

National Provider Directory

National Provider Directory

Locations

545 Spring St
Friday Harbor, WA 98250
Phone (360) 378-2330

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1023316981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SPRUCE ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508061",
            "telephone_number": "360-378-2330",
            "fax_number": "360-378-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "98250",
            "telephone_number": "360-378-2330",
            "fax_number": "360-378-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HEARING HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "BAISCH",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OWNER/  DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "360-378-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00004410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.