Elizabeth Danielle Thaanum

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

22174 Issued in OR

Practice address

42 Hawthorne St
Medford, OR 97504-7114

Phone

(541) 776-3461

NPI assigned

Nov 2, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Ms. Elizabeth Danielle Tangel Professional name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Imaginears, Inc.

  • Audiologist-Hearing Aid Fitter
  • Medford, OR
  • NPI 1447470158
  Medicare reassignment NPD
• Audiology and Hearing Aid Services Inc

  dba Imaginears

  • Audiologist-Hearing Aid Fitter
  • Ashland, OR
  • NPI 1669693966
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285625988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 UPPER APPLEGATE RD",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309179",
            "telephone_number": "541-899-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047114",
            "telephone_number": "541-776-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAANUM",
        "first_name": "ELIZABETH",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "22174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF. CHOICE 65 PROV. #",
            "identifier": "408242302",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226610",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE PIN NUMBER",
            "identifier": "J133302",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OREGON PROV. #",
            "identifier": "858535002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE PROV. #",
            "identifier": "002387312-002",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TANGEL",
            "middle_name": "DANIELLE",
            "prefix": "MS.",
            "credential": "M.S., CCC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Byron B Telford, FNP
• Jessica Teply, PT, DPT
• Julia Angelina Terry, LCSW
• Jennifer Testerman, LPTA
• Dana Andrew Teszler
• Kim Huynh Thai, MD
• Riza Thaiba, DDS
• Craig S. Thalacker, M.D.
• The Doula Cooperative
• The European Touch Spa

• Audiologist-Hearing Aid Fitter in Medford, OR
• Providers in Medford, OR by specialty
• Audiologist-Hearing Aid Fitter in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.