NPIMap

Organization Active NPI

Harbor Audiology & Hearing Services Inc

  • Audiologist
  • Gig Harbor, WA
National Provider Identifier
1336318310
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
HARBOR AUDIOLOGY & HEARING SERVICES INC
Practice address
4700 Point Fosdick Dr NW
#212
Gig Harbor, WA 98335
Phone
(253) 851-3932
Fax
(253) 851-4216
NPI assigned
Feb 25, 2008
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Mr. Justin Henley
Title
Owner
Phone
(253) 851-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

4700 Point Fosdick Dr NW
#212
Gig Harbor, WA 98335

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
7091218MedicaidWA
0A9845OtherWAREGENCY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001058 WA Part B Supplier - Clinic/Group Practice 5597746727 Receives reassigned benefits from 14 practitioners
Practice locations: Gig Harbor, WA; Sequim, WA; Silverdale, WA; Tacoma, WA

National Provider Directory

National Provider Directory

Locations

1100 Wheaton Way
Ste D
Bremerton, WA 98310

34509 9th Ave S
#203A
Federal Way, WA 98003

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

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

1901 S 72nd St
Tacoma, WA 98408
Phone (253) 474-4700

1901 S 72nd St
#A14
Tacoma, WA 98408
Phone (253) 471-4394

718 NE 87th Ave
Ste 102
Vancouver, WA 98664

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1336318310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW",
            "address_2": "#212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-851-3932",
            "fax_number": "253-851-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW",
            "address_2": "#212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-851-3932",
            "fax_number": "253-851-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR AUDIOLOGY & HEARING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-851-3932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091218",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCY",
            "identifier": "0A9845",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.