Active NPI
June Marie Hensley, M.A.
- Audiologist
- Poulsbo, WA
National Provider Identifier
1407939911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00003792
- Practice address
- 19319 7TH Ave NE Ste 102
Poulsbo, WA 98370-7442 - Phone
- (360) 697-3061
- Fax
- (360) 697-2116
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | LD00003792 | WA | |
| Audiologist | 231H00000X | LD00003792 | WA | Primary |
Addresses
Primary practice location
19319 7TH Ave NE Ste 102
Poulsbo, WA 98370-7442
Mailing address
19319 7TH Ave NE Ste 102
Poulsbo, WA 98370-7442
Phone (360) 697-3061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD00003792 | Other | WA | LICENSED AUDIOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1308 W Sims Way
Port Townsend, WA 98368-3060
Phone (360) 379-5458
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD00003792 | WA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Hearing Inc | Audiologist | Current | Accepting new patients |
Locations
1308 W Sims Way
Port Townsend, WA 98368
Phone (360) 379-5458
19319 7th Ave NE
Ste 102
Poulsbo, WA 98370
Phone (360) 697-2116
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1407939911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19319 7TH AVE NE STE 102",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707442",
"telephone_number": "360-697-3061",
"fax_number": "360-697-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19319 7TH AVE NE STE 102",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707442",
"telephone_number": "360-697-3061",
"fax_number": "360-697-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY",
"first_name": "JUNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD00003792",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00003792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED AUDIOLOGIST",
"identifier": "LD00003792",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.