Individual provider Active NPI

Ronda Carlson, AAS-HIS

  • Hearing Instrument Specialist
  • Tacoma, WA
National Provider Identifier
1063042760
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA00004508 Issued in WA
Practice address
1901 S 72ND St # A14
Tacoma, WA 98408-1200
Phone
(253) 473-4394
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA00004508 WA Primary

Addresses

Primary practice location

1901 S 72ND St # A14
Tacoma, WA 98408-1200

Mailing address

4700 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1706
Phone (253) 851-3932

Other practice location 1

538 N 5th Ave
Sequim, WA 98382-3079
Phone (360) 681-7500

Other practice location 2

902 E 1st St Ste B
Port Angeles, WA 98362-4024
Phone (360) 362-7455

Other practice location 3

4700 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1706
Phone (253) 851-3932

Other practice location 4

3100 NW Bucklin Hill Rd Ste 103
Silverdale, WA 98383-8359
Phone (360) 692-6650

Other names 1

  • Ronda Potts Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address harboraudiology@harboraud.com Direct

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

LicenseStateTypeSpecialty
HA00004508WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Audiology & Hearing Services Inc CurrentSince Dec 13, 2018 Accepting new patients
Olympic Hearing Center PC Past Accepting new patients
Kitsap Audiology, Inc. Hearing Instrument Specialist Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 212
Gig Harbor, WA 98335
Phone (253) 851-3932

902 E 1st St
Ste B
Port Angeles, WA 98362
Phone (360) 362-7455

538 N 5th Ave
Sequim, WA 98382
Phone (360) 681-7500

3100 NW Bucklin Hill Rd
Ste 103
Silverdale, WA 98383
Phone (360) 692-6650

1901 S 72nd St
#A14
Tacoma, WA 98408
Phone (253) 471-4394

Organizations & group practices 3

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1063042760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-3932",
            "fax_number": "253-851-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 72ND ST # A14",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081200",
            "telephone_number": "253-473-4394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 N 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823079",
            "country_code": "US",
            "telephone_number": "360-681-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 E 1st St Ste B",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983624024",
            "country_code": "US",
            "telephone_number": "360-362-7455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Point Fosdick Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351706",
            "country_code": "US",
            "telephone_number": "253-851-3932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 NW Bucklin Hill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983838359",
            "country_code": "US",
            "telephone_number": "360-692-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RONDA",
        "credential": "AAS-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00004508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harboraudiology@harboraud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 S 72nd St # A14",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984081200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RONDA",
            "last_name": "POTTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.