Active NPI
Linda Lou Myhre, HIS
- Hearing Instrument Specialist
- Silverdale, WA
National Provider Identifier
1104915180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA00002378
- Practice address
- 2845 NW Kitsap PL
Silverdale, WA 98383-9447 - Phone
- (360) 692-7056
- Fax
- (253) 759-2988
- NPI assigned
- Oct 11, 2006
- Last updated
- Sep 26, 2022
- Sex
- Female
- 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 | HA00002378 | WA | Primary |
Addresses
Primary practice location
2845 NW Kitsap PL
Silverdale, WA 98383-9447
Mailing address
1311 S Union Ave Ste 102
Tacoma, WA 98405-1959
Phone (253) 759-3555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9058280 | Medicaid | WA | |
| 600383602 | Other | WA | FEDERAL L&I |
| 0339985 | Other | WA | WA L&I |
| 2044472 | Medicaid | WA | |
| 0204149 | Other | WA | L&I |
Other names 1
- Linda Lou Moen
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 |
|---|---|---|---|
| HA00002378 | WA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing by Design, Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Interoperability endpoints
- lindaknisley@puget-sound-hearing.direct.kno2fy.com
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 AudioNova
- Hearing Aid Equipment
- Tacoma, WA
- NPI 1174715015
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1104915180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 S UNION AVE STE 102",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051959",
"telephone_number": "253-759-3555",
"fax_number": "253-759-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 NW KITSAP PL",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839447",
"telephone_number": "360-692-7056",
"fax_number": "253-759-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYHRE",
"first_name": "LINDA",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "HA00002378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9058280",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL L&I",
"identifier": "600383602",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0339985",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2044472",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0204149",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "MOEN",
"middle_name": "LOU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.