Active NPI
Ella Lucille Carroll, HEARING AID DISPENSE
- Hearing Aid Equipment
- Texarkana, AR
National Provider Identifier
1255569505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Practice address
- 4425 Jefferson Ave
Suite 101
Texarkana, AR 71854 - Phone
- (870) 773-6270
- Fax
- (870) 773-6270
- NPI assigned
- Jun 25, 2009
- 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 Aid Equipment | 332S00000X | Primary |
Addresses
Primary practice location
4425 Jefferson Ave
Suite 101
Texarkana, AR 71854
Mailing address
4425 Jefferson Ave
Suite 101
Texarkana, AR 71854
Phone (870) 773-6270
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 |
|---|---|---|---|
| J & L Hearing Center | Hearing Aid Equipment | 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": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1255569505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 JEFFERSON AVE",
"address_2": "SUITE 101",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "71854",
"telephone_number": "870-773-6270",
"fax_number": "870-773-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 JEFFERSON AVE",
"address_2": "SUITE 101",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "71854",
"telephone_number": "870-773-6270",
"fax_number": "870-773-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "ELLA",
"middle_name": "LUCILLE",
"name_prefix": "Mrs.",
"credential": "HEARING AID DISPENSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.