Individual provider Active NPI

Zoe Elizabeth Hernandez, AUD

  • Audiologist
  • Portland, OR
National Provider Identifier
1316660491
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
31050 Issued in OR
Practice address
3502 NE Broadway St
Portland, OR 97232-1821
Phone
(503) 914-4383
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 31050 OR Primary

Addresses

Primary practice location

3502 NE Broadway St
Portland, OR 97232-1821

Mailing address

3502 NE Broadway St
Portland, OR 97232-1821
Phone (503) 914-4383

Other practice location 1

5200 S MacAdam Ave Ste 200
Portland, OR 97239-3800
Phone (503) 470-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230726002569 OR Practitioner - Qualified Audiologist 2365803186 Reassigns benefits to 1 organization
I20231004002886 WA Practitioner - Qualified Audiologist 2365803186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Audiology and Hearing Services IncGroup PAC ID 5597746727, 9 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr NW
Suite 212
Gig Harbor, WA 98335-1706
Phone (253) 851-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31050ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Audiology & Hearing Services Inc Audiologist CurrentSince Sep 1, 2023 Accepting new patients
Temple Faculty Practice Plan, Inc Past Accepting new patients

Locations

1100 Wheaton Way
Ste D
Bremerton, WA 98310

34509 9th Ave S
Ste 203A
Federal Way, WA 98003
Phone (233) 661-9853

4700 Point Fosdick Dr
Ste 212
Gig Harbor, WA 98335
Phone (253) 851-3932

843 12th Ave
Ste A
Longview, WA 98632
Phone (360) 577-7702

902 E 1st St
Ste B
Port Angeles, WA 98362
Phone (360) 362-7455

538 N 5th Ave
Sequim, WA 98382
Phone (360) 681-7500

3100 NW Bucklin Hill Rd
Ste 103
Silverdale, WA 98383
Phone (360) 692-6650

1901 S 72nd St
Ste A14
Tacoma, WA 98408
Phone (253) 473-4394

718 NE 87th Ave
Ste 102
Vancouver, WA 98664

Organizations & group practices 3

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1316660491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321821",
            "telephone_number": "503-914-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321821",
            "telephone_number": "503-914-4383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 S MacAdam Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393800",
            "country_code": "US",
            "telephone_number": "503-470-3153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ZOE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "31050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.