Active NPI
Renee Gonzales
- Hearing Instrument Specialist
- Bethany, OK
National Provider Identifier
1205477445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1199
- Practice address
- 8304 NW 39TH Expy
Bethany, OK 73008-3011 - Phone
- (405) 787-4434
- NPI assigned
- Sep 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1199 | OK | Primary |
Addresses
Primary practice location
8304 NW 39TH Expy
Bethany, OK 73008-3011
Mailing address
PO Box 263
Bethany, OK 73008-0263
Phone (405) 787-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1199 | Other | OK | HEARING AID DEALER & FITTER LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1199 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonray Hearing Aid Center LLC | Single Specialty | 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": "1569715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569715200000",
"number": "1205477445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 263",
"city": "BETHANY",
"state": "OK",
"postal_code": "730080263",
"telephone_number": "405-787-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8304 NW 39TH EXPY",
"city": "BETHANY",
"state": "OK",
"postal_code": "730083011",
"telephone_number": "405-787-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-29",
"last_updated": "2019-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "OK",
"license": "1199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DEALER & FITTER LICENSE",
"identifier": "1199",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.