Individual provider Active NPI

Barbara Gordon-Wendt, PHD

  • Audiologist
  • Jbphh, HI
National Provider Identifier
1073681284
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4240 Issued in LA
Practice address
Naval Health Clinic Hawaii
480 Central Ave
Jbphh, HI 96860-4908
Phone
(808) 257-1861
NPI assigned
Dec 4, 2006
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4240 LA Primary

Addresses

Primary practice location

Naval Health Clinic Hawaii
480 Central Ave
Jbphh, HI 96860-4908

Mailing address

PO Box 62600
Dept 1269
New Orleans, LA 70162-2600
Phone (504) 568-4250

Other practice location 1

1900 Gravier St
9th Floor
New Orleans, LA 70112-2262
Phone (504) 568-4250

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mail.mil Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612000716 HI Practitioner - Qualified Audiologist 3375784747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Connecticut School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

677 Ala Moana Blvd
Suite 625
Honolulu, HI 96813-5415
Phone (808) 692-1580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4240LAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Jun 1, 2024 Accepting new patients
University Clinical Education & Research Associates CurrentSince Jun 1, 2024 Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

677 Ala Moana Blvd
Ste 625
Honolulu, HI 96813
Phone (808) 692-1580

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1073681284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62600",
            "address_2": "DEPT 1269",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701622600",
            "telephone_number": "504-568-4250",
            "fax_number": "504-568-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HEALTH CLINIC HAWAII",
            "address_2": "480 CENTRAL AVE",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-257-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Gravier St",
            "address_2": "9th Floor",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122262",
            "country_code": "US",
            "telephone_number": "504-568-4250",
            "fax_number": "504-568-4249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON-WENDT",
        "first_name": "BARBARA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mail.mil",
            "affiliation": "N",
            "endpointDescription": "DOD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "encrypted",
            "address_1": "NAVAL HEALTH CLINIC HAWAII",
            "address_2": "480 Central Ave",
            "city": "JBPHH",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968604908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jbphh, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.