Active NPI
Nathan Alexander Willard
- Hearing Instrument Specialist
- Medford, OR
National Provider Identifier
1235493081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 920 Town Centre Dr
Medford, OR 97504-6100 - Phone
- (541) 414-8488
- NPI assigned
- Jun 26, 2012
- Last updated
- Apr 14, 2022
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
920 Town Centre Dr
Medford, OR 97504-6100
Mailing address
363 Jans CT
Central Point, OR 97502-2529
Phone (541) 414-8488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50065834 | Medicaid | OR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soundscape, LLC. | Hearing Instrument Specialist | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1235493081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 JANS CT",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022529",
"telephone_number": "541-414-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 TOWN CENTRE DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046100",
"telephone_number": "541-414-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "NATHAN",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50065834",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.