Active NPI
Jason Williams
- Hearing Instrument Specialist
- Henderson, TX
National Provider Identifier
1093137580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80409
- Practice address
- 522 US Highway 79 S Ste B
Henderson, TX 75654-3641 - Phone
- (903) 657-1702
- Fax
- (903) 657-4560
- NPI assigned
- Jan 17, 2014
- Last updated
- Dec 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | TX | ||
| Hearing Instrument Specialist | 237700000X | 80409 | TX | Primary |
Addresses
Primary practice location
522 US Highway 79 S Ste B
Henderson, TX 75654-3641
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529
Other practice location 1
822 N 4th St
Longview, TX 75601-5433
Phone (903) 381-4044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2205718-01 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80409 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.L. Miguez, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NewSound Hearing Aid Centers
- Hearing Aid Equipment
- Henderson, TX
- NPI 1639529753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1093137580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "612-351-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 US HIGHWAY 79 S STE B",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756543641",
"telephone_number": "903-657-1702",
"fax_number": "903-657-4560"
}
],
"practiceLocations": [
{
"address_1": "822 N 4th St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015433",
"country_code": "US",
"telephone_number": "903-381-4044",
"fax_number": "903-381-4045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-17",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2205718-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.