Individual provider Active NPI

Stephanie Kristine Fleck, AU.D., CCC-A

  • Audiologist
  • Bainbridge Island, WA
National Provider Identifier
1346359452
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00004084 Issued in WA
Practice address
345 Knechtel Way NE Ste 105
Bainbridge Island, WA 98110-2834
Phone
(206) 842-6374
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00004084 WA Primary

Addresses

Primary practice location

345 Knechtel Way NE Ste 105
Bainbridge Island, WA 98110-2834

Mailing address

345 Knechtel Way NE Ste 105
Bainbridge Island, WA 98110-2834
Phone (206) 842-6374

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD00004084WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear for Life Audiology, LLC PastSince Apr 17, 2017 Accepting new patients
Meikle Audiology, LLC Past Accepting new patients
Bellingham Ear Nose Throat & Facial Plastic Surgery Inc PS PastSince Jul 6, 1992 Accepting new patients
Bellingham Ear Nose Throat and Facial Surgery Inc Past Accepting new patients

Organizations & group practices 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1346359452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE STE 105",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102834",
            "telephone_number": "206-842-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE STE 105",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102834",
            "telephone_number": "206-842-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "STEPHANIE",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00004084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.