Active NPI
Paula K Harris, AU.D., CCC-A
- Audiologist
- West Frankfort, IL
National Provider Identifier
1356359939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001158
- Practice address
- 1000 Factory Outlet Blvd
Suite #103
West Frankfort, IL 62896-4179 - Phone
- (618) 937-6419
- Fax
- (618) 932-3163
- NPI assigned
- Aug 3, 2006
- Last updated
- Nov 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147001158 | IL | Primary |
Addresses
Primary practice location
1000 Factory Outlet Blvd
Suite #103
West Frankfort, IL 62896-4179
Mailing address
1001 E Sunset Rd
Unit 96595
Las Vegas, NV 89193-1101
Phone (702) 798-0113
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Past | Accepting new patients | |
| John Reimbold | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Hearing Center
- Hearing and Speech Clinic/Center
- West Frankfort, IL
- NPI 1215970827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1356359939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E SUNSET RD",
"address_2": "UNIT 96595",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891931101",
"telephone_number": "702-798-0113",
"fax_number": "866-291-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FACTORY OUTLET BLVD",
"address_2": "SUITE #103",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628964179",
"telephone_number": "618-937-6419",
"fax_number": "618-932-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PAULA",
"middle_name": "K",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.