Individual provider Active NPI

Deborah Leenhouts

  • Hearing Instrument Specialist
  • Puyallup, WA
National Provider Identifier
1114118791
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA00003837 Issued in WA
Practice address
12623 Meridian E Ste B1A
Puyallup, WA 98373-3475
Phone
(253) 256-4620
Fax
(253) 759-2988
NPI assigned
Aug 7, 2007
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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 HA00003837 WA Primary

Addresses

Primary practice location

12623 Meridian E Ste B1A
Puyallup, WA 98373-3475

Mailing address

1311 S Union Ave
Ste 102
Tacoma, WA 98405-1959
Phone (253) 759-3555

Other names 1

  • Deborah A Matteson Former name

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
HA00003837WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing by Design, Inc Hearing Instrument Specialist PastSince Jan 30, 2017 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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1114118791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S UNION AVE",
            "address_2": "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": "12623 MERIDIAN E STE B1A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733475",
            "telephone_number": "253-256-4620",
            "fax_number": "253-759-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEENHOUTS",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00003837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MATTESON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.

Verify at the official NPI Registry.