Laverne Clarence Willson, LICENSED HEARING INS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

257 Issued in SD

Practice address

2525 West Main
Suite 106
Rapid City, SD 57702-2438

Phone

(605) 355-9776

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hear Better Here Hearing Center

  • Hearing Aid Equipment
  • Rapid City, SD
  • NPI 1386041325
  NPD (past) Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1275793853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN",
            "address_2": "SUITE 106 HEAR BETTER HERE HEARING CENTER",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022438",
            "telephone_number": "605-355-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WEST MAIN",
            "address_2": "SUITE 106",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022438",
            "telephone_number": "605-355-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "LAVERNE",
        "middle_name": "CLARENCE",
        "name_prefix": "Mr.",
        "credential": "LICENSED HEARING INS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SD",
            "license": "257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9159920",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Alexandria Williams, MD
• Heather Ann Williamson, P.T.
• Ingrid Williamson
• Marcia Mae Williamson
• Rebecca S Willse, LAC
• Wilson Anesthesia Services PC
• Andrew Robert Wilson, DDS
• Diane Wilson, SLP
• Joanna Wilson
• Joleen Wilson, P.T.

• Hearing Instrument Specialist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Hearing Instrument Specialist in South Dakota

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