Active NPI
Jaimie King
- Hearing Instrument Specialist
- Beaverton, OR
National Provider Identifier
1053720979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-P-429696
- Practice address
- 1865 NW 169TH PL Ste 204
Beaverton, OR 97006-7310 - Phone
- (503) 747-3084
- Fax
- (503) 992-6667
- NPI assigned
- Aug 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAS-P-429696 | OR | Primary |
Addresses
Primary practice location
1865 NW 169TH PL Ste 204
Beaverton, OR 97006-7310
Mailing address
1865 NW 169TH PL Ste 204
Beaverton, OR 97006-7310
Phone (503) 747-3084
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAS-P-429696 | OR | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Hearing Solutions | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing Instrument Specialist
- Beaverton, OR
- NPI 1538529748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1053720979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 NW 169TH PL STE 204",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067310",
"telephone_number": "503-747-3084",
"fax_number": "503-992-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 NW 169TH PL STE 204",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067310",
"telephone_number": "503-747-3084",
"fax_number": "503-992-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JAIMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-429696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.