Organization Active NPI

Gold Country Hearing Center, Inc.

  • Audiologist
  • Grass Valley, CA
National Provider Identifier
1174761290
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2255 Issued in CA
Legal business name
GOLD COUNTRY HEARING CENTER, INC.
Practice address
1097 E Main St
Ste B
Grass Valley, CA 95945-5718
Phone
(530) 477-8114
Fax
(530) 477-1513
NPI assigned
Jan 27, 2009
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Mrs. Laura Crookston, M.A., CCC-A
Title
Audiologist
Phone
(530) 477-8114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2255 CA Primary
Audiologist-Hearing Aid Fitter 237600000X HA5047 CA

Addresses

Primary practice location

1097 E Main St
Ste B
Grass Valley, CA 95945-5718

Mailing address

1097 E Main St
Ste B
Grass Valley, CA 95945-5718
Phone (530) 477-8114

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1174761290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 E MAIN ST",
            "address_2": "STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455718",
            "telephone_number": "530-477-8114",
            "fax_number": "530-477-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 E MAIN ST",
            "address_2": "STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455718",
            "telephone_number": "530-477-8114",
            "fax_number": "530-477-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COUNTRY HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "CROOKSTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "530-477-8114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2255",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA5047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.