Individual provider Active NPI

Eileen Bleakney Freed, MA

  • Audiologist
  • Burien, WA
National Provider Identifier
1124026430
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00001464 Issued in WA
Practice address
457 SW 148TH St
Ste 101
Burien, WA 98166-1975
Phone
(206) 246-8677
Fax
(206) 431-2922
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00001464 WA Primary

Addresses

Primary practice location

457 SW 148TH St
Ste 101
Burien, WA 98166-1975

Mailing address

457 SW 148TH St
Ste 101
Burien, WA 98166-1975
Phone (206) 938-1409

Other identifiers 1

IdentifierTypeStateIssuer
7102460-9052176MedicaidWA

Other names 1

  • Eileen Bleakney 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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Audiology and Hearing AIDS, LLC Audiologist CurrentSince Mar 20, 2024 Accepting new patients

Locations

457 SW 148th St
Ste 101
Burien, WA 98166
Phone (206) 246-8677

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1124026430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 SW 148TH ST",
            "address_2": "STE 101",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661975",
            "telephone_number": "206-938-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 SW 148TH ST",
            "address_2": "STE 101",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661975",
            "telephone_number": "206-246-8677",
            "fax_number": "206-431-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "EILEEN",
        "middle_name": "BLEAKNEY",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102460-9052176",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "BLEAKNEY",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.