Individual provider Active NPI

Kori Rebecca Reese, H.I.S

  • Hearing Instrument Specialist
  • Olympia, WA
National Provider Identifier
1225488422
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA60647804 Issued in WA
Practice address
365 Cooper Point Rd NW
Suite #102
Olympia, WA 98502-4462
Phone
(360) 704-7900
Fax
(360) 704-7909
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA60647804 WA Primary

Addresses

Primary practice location

365 Cooper Point Rd NW
Suite #102
Olympia, WA 98502-4462

Mailing address

245 St Helens Ave
Apt 502
Tacoma, WA 98402-2594
Phone (619) 370-2877

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

LicenseStateTypeSpecialty
HA60647804WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1225488422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ST HELENS AVE",
            "address_2": "APT 502",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022594",
            "telephone_number": "619-370-2877",
            "fax_number": "360-704-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COOPER POINT RD NW",
            "address_2": "SUITE #102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024462",
            "telephone_number": "360-704-7900",
            "fax_number": "360-704-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "KORI",
        "middle_name": "REBECCA",
        "credential": "H.I.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA60647804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.