Individual provider Active NPI

Carrie Grace Sousa

  • Audiologist-Hearing Aid Fitter
  • Vacaville, CA
National Provider Identifier
1356731434
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
HA5029 Issued in CA
Practice address
673 Merchant St Ste B
Vacaville, CA 95688-6952
Phone
(707) 446-0742
NPI assigned
Jan 28, 2015
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X HA5029 CA Primary

Addresses

Primary practice location

673 Merchant St Ste B
Vacaville, CA 95688-6952

Mailing address

673 Merchant St Ste B
Vacaville, CA 95688-6952
Phone (707) 446-0742

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA5029CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Pine River Inc. CurrentSince Jan 12, 2025 Accepting new patients
Sound Hearing Services Audiologist-Hearing Aid Fitter PastSince Jan 12, 2025 Accepting new patients
Personal Hearing Solutions Past Accepting new patients
Personal Hearing Solutions Past Accepting new patients

Locations

673 Merchant St
Ste B
Vacaville, CA 95688
Phone (707) 426-0742

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1356731434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MERCHANT ST STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956886952",
            "telephone_number": "707-446-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MERCHANT ST STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956886952",
            "telephone_number": "707-446-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "CARRIE",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA5029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.