Individual provider Active NPI

Sue Ann Chamberlain

  • Hearing Instrument Specialist
  • Cottage Grove, MN
National Provider Identifier
1285918367
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2842 Issued in MN
Practice address
8617 W Point Douglas Rd S Ste 150
Cottage Grove, MN 55016-4161
Phone
(833) 432-7483
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2842 MN Primary
Hearing Instrument Specialist 237700000X 3389 CA

Addresses

Primary practice location

8617 W Point Douglas Rd S Ste 150
Cottage Grove, MN 55016-4161

Mailing address

8151 River Acres Rd
Cottage Grove, MN 55016-4566
Phone (650) 218-4088

Other names 1

  • Sue Chamberlain Other name

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
3389CAMDSchool Psychologist
2842MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aztec Enitites, LLC Hearing Instrument Specialist CurrentSince Apr 17, 2020 Accepting new patients
Eartone Hearing Aid Center Inc. Hearing Instrument Specialist PastSince May 25, 2025 Accepting new patients

Locations

8617 W Point Douglas Rd S
Ste 150
Cottage Grove, MN 55016
Phone (833) 432-7483

Organizations & group practices 2

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1285918367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 RIVER ACRES RD",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164566",
            "telephone_number": "650-218-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 W POINT DOUGLAS RD S STE 150",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164161",
            "telephone_number": "833-432-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "SUE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2842",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "3389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "CHAMBERLAIN",
            "credential": "NBC-HIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.