Active NPI
Jon David Sorrells, HIS
- Hearing Instrument Specialist
- Lake Charles, LA
National Provider Identifier
1104464411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1305
- Practice address
- 2626 Country Club Rd
Lake Charles, LA 70605-5912 - Phone
- (337) 240-6600
- NPI assigned
- Dec 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1305 | LA | Primary |
Addresses
Primary practice location
2626 Country Club Rd
Lake Charles, LA 70605-5912
Mailing address
555 Dr Michael Debakey Dr Ste 104
Lake Charles, LA 70601-5700
Phone (337) 436-3277
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 3374393051 | Sorrells Audiology LLC |
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 |
|---|---|---|---|
| 1305 | LA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Charles Hearing AIDS LLC | Current | Accepting new patients | |
| Sorrells Audiology LLC | Current | Accepting new patients |
Locations
2626 Country Club Rd
Lake Charles, LA 70605
Phone (337) 240-6600
555 Dr Michael Debakey Dr
Ste 104
Lake Charles, LA 70601
Phone (318) 436-3277
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 and National Provider Directory roles.
-
- Hearing Aid Equipment
- Lake Charles, LA
- NPI 1669007381
-
- Audiologist-Hearing Aid Fitter
- Lake Charles, LA
- NPI 1265987051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1104464411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 DR MICHAEL DEBAKEY DR STE 104",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015700",
"telephone_number": "337-436-3277",
"fax_number": "337-439-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 COUNTRY CLUB RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055912",
"telephone_number": "337-240-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRELLS",
"first_name": "JON DAVID",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-17",
"last_updated": "2023-11-27",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "LA",
"license": "1305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "3374393051",
"affiliation": "Y",
"endpointDescription": "fax",
"affiliationName": "Sorrells Audiology LLC",
"address_1": "555 Dr Michael Debakey Dr Ste 104",
"city": "Lake Charles",
"state": "LA",
"country_code": "US",
"postal_code": "706015700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.