Rachel Rose Sours, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAS-P10193792 Issued in OR

Practice address

10395 NW Glencoe Rd Ste 500
North Plains, OR 97133-8223

Phone

(503) 647-2095

Fax

(503) 647-2096

NPI assigned

Sep 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Northland Hearing Centers, Inc.

  • Hearing and Speech Clinic/Center
  • Sparta, IL
  • NPI 1184677791

  Audiologist-Hearing Aid Fitter

  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1295219731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "800-328-8602",
            "fax_number": "952-285-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 NW GLENCOE RD STE 500",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338223",
            "telephone_number": "503-647-2095",
            "fax_number": "503-647-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURS",
        "first_name": "RACHEL",
        "middle_name": "ROSE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P10193792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Private Care LLC
• Sean Michael Ostlund, D.C., M.S.E.S.S.
• Peak Chiropractic, Inc
• Elaine A Rogers, LCSW
• Robert A. Siebers, BC-HIS
• Jennifer L South, OTR/L
• Alyssa Marie Specht
• Barry Anthony Spiering, PHD
• Tuality Healthcare
• Vanessa Verduzco Trujillo, M.S., CCC-SLP

• Hearing Instrument Specialist in North Plains, OR
• Providers in North Plains, OR by specialty
• Hearing Instrument Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.