Individual provider Active NPI

Patricia Ann Sponheim, BC-HIS

  • Hearing Instrument Specialist
  • Great Falls, MT
National Provider Identifier
1093977597
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
239 Issued in MT
Practice address
215 10TH St S
Great Falls, MT 59405-2212
Phone
(406) 727-2461
Fax
(406) 452-5953
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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 239 MT Primary

Addresses

Primary practice location

215 10TH St S
Great Falls, MT 59405-2212

Mailing address

215 10TH St S
Great Falls, MT 59405-2212
Phone (406) 727-2461

Other identifiers 1

IdentifierTypeStateIssuer
0000561306MedicaidMT

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
239MTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Montana, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1093977597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 10TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052212",
            "telephone_number": "406-727-2461",
            "fax_number": "406-452-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 10TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052212",
            "telephone_number": "406-727-2461",
            "fax_number": "406-452-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONHEIM",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MT",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000561306",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.