Carol Lee Erickson, ACA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

HA4179 Issued in CA

Practice address

56970 Yucca TRL Ste 102
Yucca Valley, CA 92284-7911

Phone

(760) 365-0691

Fax

(760) 365-0692

NPI assigned

Jul 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Carol Lee Scott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Hearing AIDS

  • Hearing Instrument Specialist
  • Yucca Valley, CA
  • NPI 1124186838
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073036208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37446 WESTRIDGE AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922111363",
            "telephone_number": "559-284-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56970 YUCCA TRL STE 102",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847911",
            "telephone_number": "760-365-0691",
            "fax_number": "760-365-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78370 Highway 111 Ste 140",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922532622",
            "country_code": "US",
            "telephone_number": "760-972-4865",
            "fax_number": "760-619-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "CAROL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ACA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "4179",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA4179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA HEARING AID DESPENSER LIC.",
            "identifier": "HA4179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SCOTT",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist-Hearing Aid Fitter in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.