Organization Active NPI

Little Falls Hearing Clinic, LLC

  • Audiologist
  • Little Falls, MN
National Provider Identifier
1164904793
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8930 Issued in MN
Legal business name
LITTLE FALLS HEARING CLINIC, LLC
Practice address
109 5TH St NE Ste 2
Little Falls, MN 56345-2732
Phone
(320) 616-6850
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Heather Van Stone, AU.D.NPI 1962761601
Title
Owner
Phone
(320) 616-6850

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 8930 MN Primary

Addresses

Primary practice location

109 5TH St NE Ste 2
Little Falls, MN 56345-2732

Mailing address

109 5TH St NE Ste 2
PO Box 393
Little Falls, MN 56345
Phone (320) 616-6850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128000080 MN Part B Supplier - Clinic/Group Practice 7618214859 Receives reassigned benefits from 1 practitioner
Practice locations: Little Falls, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1164904793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 5TH ST NE STE 2",
            "address_2": "PO BOX 393",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "56345",
            "telephone_number": "320-616-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 5TH ST NE STE 2",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563452732",
            "telephone_number": "320-616-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FALLS HEARING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "VAN STONE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-616-6850",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MN",
            "license": "8930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.