Organization Active NPI

Premier Hearing and Balance, LLC

  • Audiologist
  • Hammond, LA
National Provider Identifier
1144573965
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PREMIER HEARING AND BALANCE, LLC
Practice address
16038 Doctors Blvd
Hammond, LA 70403-1478
Phone
(985) 419-8080
Fax
(985) 542-0282
NPI assigned
Oct 17, 2012
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Mrs. Mary L Miller, PH.D. CCC-ANPI 1871528596
Title
Owner/Audiologist
Phone
(985) 419-8080

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: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

16038 Doctors Blvd
Hammond, LA 70403-1478

Mailing address

16038 Doctors Blvd
Hammond, LA 70403-1478
Phone (985) 419-8080

Other practice location 1

1327 W Causeway Approach
Mandeville, LA 70471-3043
Phone (985) 419-8080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130327000240 LA Part B Supplier - Clinic/Group Practice 4789829565 Receives reassigned benefits from 4 practitioners
Practice locations: Hammond, LA; Mandeville, LA

National Provider Directory

National Provider Directory

Locations

16030 Doctors Blvd
Hammond, LA 70403

1327 W Causeway Approach
Mandeville, LA 70471
Phone (985) 419-8080

633 Asbury Dr
Mandeville, LA 70471
Phone (985) 624-2942

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1144573965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16038 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-419-8080",
            "fax_number": "985-542-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16038 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-419-8080",
            "fax_number": "985-542-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 W Causeway Approach",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704713043",
            "country_code": "US",
            "telephone_number": "985-419-8080",
            "fax_number": "985-542-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HEARING AND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "985-419-8080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D. CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-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": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.