NPIMap

Organization Active NPI

Sonos Neurotherapies

  • Hearing and Speech Clinic/Center
  • Bend, OR
National Provider Identifier
1326467853
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SONOS NEUROTHERAPIES
Practice address
20310 Empire Ave Ste A103
Bend, OR 97703-5723
Phone
(541) 604-8255
Fax
(541) 706-9440
NPI assigned
Apr 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Kristin M Williamson, MS, CCC-SLPNPI 1154562825
Title
Co-Owner
Phone
(541) 604-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

20310 Empire Ave Ste A103
Bend, OR 97703-5723

Mailing address

20310 Empire Ave Ste A103
Bend, OR 97703-5723
Phone (541) 604-8255

Other identifiers 1

IdentifierTypeStateIssuer
500670437MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@sonosbend.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140804000627 OR Part B Supplier - Clinic/Group Practice 3678790375 Receives reassigned benefits from 7 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

20310 Empire Ave
Ste A103
Bend, OR 97703
Phone (541) 604-8255

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1326467853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20310 EMPIRE AVE STE A103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035723",
            "telephone_number": "541-604-8255",
            "fax_number": "541-706-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20310 EMPIRE AVE STE A103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035723",
            "telephone_number": "541-604-8255",
            "fax_number": "541-706-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOS NEUROTHERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-604-8255",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670437",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@sonosbend.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "20310 Empire Ave Ste A103",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977035723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.