Organization Active NPI

Health Services Seattle LLC

Doing business as Miracle Ear

  • Audiologist-Hearing Aid Fitter
  • Eagle, ID
National Provider Identifier
1164904959
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
HEALTH SERVICES SEATTLE LLC
Doing business as
Miracle Ear
Practice address
1059 E Iron Eagle Dr Ste 175
Eagle, ID 83616-6855
Phone
(208) 957-6418
Fax
(208) 912-0448
NPI assigned
Aug 29, 2018
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Melissa Allsopp
Title
Insurance and Billing Specialist
Phone
(208) 310-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

1059 E Iron Eagle Dr Ste 175
Eagle, ID 83616-6855

Mailing address

10557 W Carlton Bay Drive
Suite 201
Garden City, ID 83714-0001
Phone (208) 310-7127

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory

Locations

1059 E Iron Eagle Dr
Ste 175
Eagle, ID 83616
Phone (208) 957-6418

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1164904959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10557 W CARLTON BAY DRIVE",
            "address_2": "SUITE 201",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837140001",
            "telephone_number": "208-310-7127",
            "fax_number": "208-912-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 E IRON EAGLE DR STE 175",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166855",
            "telephone_number": "208-957-6418",
            "fax_number": "208-912-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES SEATTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "ALLSOPP",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "INSURANCE AND BILLING SPECIALIST",
        "authorized_official_telephone_number": "208-310-7127"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.