Organization Active NPI

Good Sound Audiology PLLC

  • Audiologist-Hearing Aid Fitter
  • Gilbert, AZ
National Provider Identifier
1396810909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA0060 Issued in AZ
Legal business name
GOOD SOUND AUDIOLOGY PLLC
Practice address
201 W Guadalupe Rd
Suite 315
Gilbert, AZ 85233-3332
Phone
(480) 497-0780
Fax
(480) 497-0790
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tina Janeen Jessee, AU DNPI 1356383723
Title
Owner Audiologist
Phone
(480) 497-0780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X DA0060 AZ Primary

Addresses

Primary practice location

201 W Guadalupe Rd
Suite 315
Gilbert, AZ 85233-3332

Mailing address

201 W Guadalupe Rd
Suite 315
Gilbert, AZ 85233-3332
Phone (480) 497-0780

Other identifiers 4

IdentifierTypeStateIssuer
981622MedicaidAZ
2Z4495OtherAZHEALTHNET ID NUMBER
AZ0902910OtherAZBCBS ID NUMBER
2892231OtherAZAETNA ID NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396810909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "address_2": "SUITE 315",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-497-0780",
            "fax_number": "480-497-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "address_2": "SUITE 315",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-497-0780",
            "fax_number": "480-497-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SOUND AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JESSEE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "JANEEN",
        "authorized_official_title_or_position": "OWNER AUDIOLOGIST",
        "authorized_official_telephone_number": "480-497-0780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU D"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA0060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981622",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID NUMBER",
            "identifier": "2Z4495",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "AZ0902910",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "2892231",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.