Active NPI
Eve R. Boaheng, HIS
- Hearing Instrument Specialist
- Eden Prairie, MN
National Provider Identifier
1396290334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2773
- Practice address
- 18315 Cascade Dr
100
Eden Prairie, MN 55347 - Phone
- (952) 294-4327
- Fax
- (952) 294-1027
- NPI assigned
- Aug 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2773 | MN | |
| Hearing Instrument Specialist | 237700000X | 2773 | MN | Primary |
Addresses
Primary practice location
18315 Cascade Dr
100
Eden Prairie, MN 55347
Mailing address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999
Other practice location 1
18315 Cascade Dr
100
Eden Prairie, MN 55347-1180
Phone (952) 294-4327
Other names 1
- Eve Bakker
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1396290334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD STE 300N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155703",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18315 CASCADE DR",
"address_2": "100",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55347",
"telephone_number": "952-294-4327",
"fax_number": "952-294-1027"
}
],
"practiceLocations": [
{
"address_1": "18315 Cascade Dr",
"address_2": "100",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553471180",
"country_code": "US",
"telephone_number": "952-294-4327",
"fax_number": "952-294-1027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOAHENG",
"first_name": "EVE",
"middle_name": "R.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MN",
"license": "2773",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EVE",
"last_name": "BAKKER",
"credential": "HIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.