Simon Audiology & Tinnitus LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2842 Issued in ID

Legal business name

SIMON AUDIOLOGY & TINNITUS LLC

Practice address

1022 Bryden Ave
Lewiston, ID 83501-5353

Phone

(208) 746-7022

Fax

(208) 746-2886

NPI assigned

Mar 24, 2016

Organization subpart

Yes

Parent organization

AJA COMPANYAs reported in NPPES

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

Authorized official

Name

Anne Simon, AUDNPI 1548396690

Title

President

Phone

(208) 746-7022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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

• Anne Kristin Simon, M.S.

  • Audiologist
  • Lewiston, ID
  • NPI 1548396690
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1053773416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010851",
            "telephone_number": "208-746-7022",
            "fax_number": "208-746-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015353",
            "telephone_number": "208-746-7022",
            "fax_number": "208-746-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON AUDIOLOGY & TINNITUS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AJA COMPANY",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-746-7022",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "ID",
            "license": "2842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co. LLC
• Shoptikal LLC
• Frank E Shull, MED LCPC
• Karen Mae Silva, LCPC
• Kent B. Simmons, D.D.S.
• Simon Hearing, LLC
• Anne Kristin Simon, M.S.
• Jeb Michael Simpson
• Jennifer Grace Simpson, RN,CBS
• Sjrmc Interventional Radiology Services LLC

• Audiologist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Audiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.