Individual provider Active NPI

Nicholas Raymo, HIS

  • Hearing Instrument Specialist
  • Worthington, MN
National Provider Identifier
1417387093
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2720 Issued in MN
Practice address
1700 S Shore Dr
Worthington, MN 56187-1353
Phone
(507) 360-0140
NPI assigned
Nov 19, 2013
Last updated
May 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1020 IA
Hearing Instrument Specialist 237700000X 2720 MN Primary

Addresses

Primary practice location

1700 S Shore Dr
Worthington, MN 56187-1353

Mailing address

1700 S Shore Dr
Worthington, MN 56187-1353
Phone (507) 360-0140

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
1020IAMDPsychologist
2720MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Hearing Technologies, Inc. Past Accepting new patients

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, 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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1417387093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S SHORE DR",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871353",
            "telephone_number": "507-360-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S SHORE DR",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871353",
            "telephone_number": "507-360-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMO",
        "first_name": "NICHOLAS",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "1020",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.