NPIMap

Individual provider Active NPI

Meredy Morgan Hase, AU.D., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Waukesha, WI
National Provider Identifier
1053402941
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
312 Issued in WI
Practice address
N4W22370 Bluemound Rd
Ste 202a
Waukesha, WI 53186-1683
Phone
(262) 547-2227
Fax
(262) 547-5222
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 312 WI Primary

Addresses

Primary practice location

N4W22370 Bluemound Rd
Ste 202a
Waukesha, WI 53186-1683

Mailing address

215 Shuman Blvd
Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380

Other identifiers 1

IdentifierTypeStateIssuer
41108800MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
312WIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Center, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Center, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Center, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Center, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter PastSince Dec 16, 2020 Accepting new patients
Hearing Center, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Center, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Center, Inc. Audiologist-Hearing Aid Fitter PastSince Oct 8, 2004 Accepting new patients

Organizations & group practices 8

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1053402941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638123",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4W22370 BLUEMOUND RD",
            "address_2": "STE 202A",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861683",
            "telephone_number": "262-547-2227",
            "fax_number": "262-547-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASE",
        "first_name": "MEREDY",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41108800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.