Heritage Audiology, PLLC

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Legal business name

HERITAGE AUDIOLOGY, PLLC

Practice address

3150 Rogers Rd Ste 105
Wake Forest, NC 27587-4195

Phone

(855) 252-1818

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Susan BergquistNPI 1902996937

Title

Had

Phone

(855) 252-1818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Bergquist, MS CCA

  • Audiologist
  • Durham, NC
  • NPI 1902996937

  NC

  Medicare reassignment NPD Authorized official
• Diane Alicia Catalano, AU.D.

  • Audiologist
  • Durham, NC
  • NPI 1114123858

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1033767553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 105",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 105",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874195",
            "telephone_number": "855-252-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "HAD",
        "authorized_official_telephone_number": "855-252-1818"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Home LLC
• George J Henderson, CPO
• Jolynn Hennerberg, LMFTA
• Daniel Henry, DPT
• Her Psychiatry Wellness
• Heritage Counseling Services Inc.
• Heritage Eye Care, Inc
• Heritage Internal Medicine, PLLC
• Heritage Wound Management Specialists PLLC
• Guadalupe Hernandez Mancilla

• All providers in Wake Forest, NC
• Hearing Instrument Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.