Individual provider Active NPI

Vala Conklin

  • Hearing Instrument Specialist
  • Kingston, NY
National Provider Identifier
1073156808
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000057793 Issued in NY
Practice address
Beltone
10 Westbrook Lane
Kingston, NY 12401
Phone
(845) 481-5029
Fax
(845) 481-5030
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 14000057793 NY Primary

Addresses

Primary practice location

Beltone
10 Westbrook Lane
Kingston, NY 12401

Mailing address

Beltone
10 Westbrook Lane
Kingston, NY 12401
Phone (845) 481-5029

Other practice location 1

Beltone
21 N. Plank Rd.
Newburgh, NY 12522
Phone (845) 764-4515

Other practice location 2

Beltone
533 Route 52
Carmel, NY 10512
Phone (845) 225-1389

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
14000057793NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Hearing 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.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1073156808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELTONE",
            "address_2": "10 WESTBROOK LANE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-481-5029",
            "fax_number": "845-481-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELTONE",
            "address_2": "10 WESTBROOK LANE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-481-5029",
            "fax_number": "845-481-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Beltone",
            "address_2": "21 N. Plank Rd.",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "12522",
            "country_code": "US",
            "telephone_number": "845-764-4515",
            "fax_number": "845-481-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Beltone",
            "address_2": "533 Route 52",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "10512",
            "country_code": "US",
            "telephone_number": "845-225-1389",
            "fax_number": "845-481-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "VALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000057793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

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