Active NPI
Anne Elizabeth Heassler, AU.D.
- Audiologist
- Tigard, OR
National Provider Identifier
1356786461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 22715
- Practice address
- 11740 SW 68TH Pkwy
Tigard, OR 97223-9014 - Phone
- (971) 277-3245
- NPI assigned
- May 2, 2013
- Last updated
- Dec 27, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 22715 | OR | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 22715 | OR | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 22715 | OR | |
| Audiologist-Hearing Aid Fitter | 237600000X | 22715 | OR |
Addresses
Primary practice location
11740 SW 68TH Pkwy
Tigard, OR 97223-9014
Mailing address
13930 SW Secretariet CT
Beaverton, OR 97008-9404
Phone (503) 348-1182
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22715 | OR | MD | Assistive Technology Practitioner Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1356786461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13930 SW SECRETARIET CT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970089404",
"telephone_number": "503-348-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 SW 68TH PKWY",
"city": "TIGARD",
"state": "OR",
"postal_code": "972239014",
"telephone_number": "971-277-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEASSLER",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "22715",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "OR",
"license": "22715",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "OR",
"license": "22715",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OR",
"license": "22715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.