NPIMap

Organization Active NPI

PNW Audiology Specialty Group PLLC

  • Audiologist
  • Seattle, WA
National Provider Identifier
1104303791
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PNW AUDIOLOGY SPECIALTY GROUP PLLC
Practice address
9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023
Phone
(206) 367-1345
Fax
(206) 367-1366
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Melanie HeckerNPI 1144538463
Title
Owner/Audiologist
Phone
(206) 367-1345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023

Mailing address

9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023
Phone (206) 367-1345

Other practice location 1

500 Columbia St NW Ste 108
Olympia, WA 98501
Phone (360) 745-0305

Other practice location 2

2601 Cherry Ave Ste 206
Bremerton, WA 98310-4208
Phone (360) 373-1250

Other practice location 3

5775 Soundview Dr Ste C204
Gig Harbor, WA 98335-2212
Phone (253) 514-8224

Other names 1

  • Northwest Hearing & Tinnitus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180904000403 WA Part B Supplier - Clinic/Group Practice 1254681802 Receives reassigned benefits from 9 practitioners
Practice locations: Seattle, WA; Gig Harbor, WA; Bremerton, WA; Olympia, WA

National Provider Directory

National Provider Directory

Locations

5775 Soundview Dr
Ste C204
Gig Harbor, WA 98335
Phone (253) 514-8224

500 Columbia St NW
Ste 108
Olympia, WA 98501
Phone (360) 745-0305

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1104303791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-367-1345",
            "fax_number": "206-367-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-367-1345",
            "fax_number": "206-367-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Columbia St NW Ste 108",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98501",
            "country_code": "US",
            "telephone_number": "360-745-0305",
            "fax_number": "360-596-9304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Cherry Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983104208",
            "country_code": "US",
            "telephone_number": "360-373-1250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5775 Soundview Dr Ste C204",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983352212",
            "country_code": "US",
            "telephone_number": "253-514-8224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PNW AUDIOLOGY SPECIALTY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "206-367-1345"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Hearing & Tinnitus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.