Individual provider Active NPI

James William Johnson, MS CCCA

  • Audiologist
  • Sparks, NV
National Provider Identifier
1194982504
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00686394 Issued in NV
Practice address
2385 E Prater Way Suite 205
Advance Audiology
Sparks, NV 89434-7688
Phone
(775) 358-4007
Fax
(775) 358-4405
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00686394 NV Primary

Addresses

Primary practice location

2385 E Prater Way Suite 205
Advance Audiology
Sparks, NV 89434-7688

Mailing address

2385 E Prater Way
Advance Audiology
Sparks, NV 89434-7688
Phone (775) 358-4007

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00686394NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryland Hearing Dba Silver State Hearing & Balance Audiologist Past Accepting new patients

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1194982504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY",
            "address_2": "ADVANCE AUDIOLOGY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347688",
            "telephone_number": "775-358-4007",
            "fax_number": "775-358-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY SUITE 205",
            "address_2": "ADVANCE AUDIOLOGY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347688",
            "telephone_number": "775-358-4007",
            "fax_number": "775-358-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MS CCCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "00686394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.