Brenda Lynne Haltom, HEARING INSTUMENT SP

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2055 Issued in WA

Practice address

830 E 8TH St
Port Angeles, WA 98362-6419

Phone

(360) 452-2228

Fax

(360) 457-9666

NPI assigned

Nov 10, 2015

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Certified Hearing Inc.

  • Hearing Instrument Specialist
  • Port Angeles, WA
  • NPI 1114146503
  Authorized official Same address or phone

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1033582192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626419",
            "telephone_number": "360-452-2228",
            "fax_number": "360-457-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626419",
            "telephone_number": "360-452-2228",
            "fax_number": "360-457-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "BRENDA",
        "middle_name": "LYNNE",
        "credential": "HEARING INSTUMENT SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "2055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA. STATE LABOR AND INDUSTRIES",
            "identifier": "0117480",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054685",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Hernandez Haley Jr.
• Baileigh H Halkett, PA-C
• Jodi Ellen Hall, LMP
• Jonathan B Hall, SUDPT
• Vicki Sue Hallberg-Gross, RN
• Susan Janice Hamilton, SUDPT
• Precious Hamm
• Ned Jacob Hammar, M.D.
• Amber Han Men
• Hanger Prosthetics & Orthotics West, Inc. (Hanger Clinic)

• Hearing Instrument Specialist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Hearing Instrument Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.