Individual provider Active NPI

Brenda L Nelson

  • Hearing Instrument Specialist
  • Richland, WA
National Provider Identifier
1063861599
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA60550828 Issued in WA
Practice address
780 Swift Blvd Ste 301
Richland, WA 99352-3524
Phone
(509) 942-3178
Fax
(509) 942-2534
NPI assigned
Jun 6, 2016
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 HA60550828 WA Primary

Addresses

Primary practice location

780 Swift Blvd Ste 301
Richland, WA 99352-3524

Mailing address

780 Swift Blvd Ste 301
Richland, WA 99352-3524
Phone (509) 942-3178

Other practice location 1

5570 Harbor Ave
Ste B
Freeland, WA 98249
Phone (360) 331-1415

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
HA60550828WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1063861599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD STE 301",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523524",
            "telephone_number": "509-942-3178",
            "fax_number": "509-942-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD STE 301",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523524",
            "telephone_number": "509-942-3178",
            "fax_number": "509-942-2534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5570 Harbor Ave",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Freeland",
            "state": "WA",
            "postal_code": "98249",
            "country_code": "US",
            "telephone_number": "360-331-1415",
            "fax_number": "360-331-1416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRENDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA60550828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.