Active NPI
Joy Kathleen Nilsson, AU.D.
- Audiologist
- Port Orchard, WA
National Provider Identifier
1427018985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1174
- Practice address
- 3311 Bethel Rd SE
Suite #110
Port Orchard, WA 98366-5600 - Phone
- (360) 895-3347
- Fax
- (360) 895-3372
- NPI assigned
- Mar 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1174 | WA | Primary |
Addresses
Primary practice location
3311 Bethel Rd SE
Suite #110
Port Orchard, WA 98366-5600
Mailing address
993 NW Durango CT
Bremerton, WA 98311-8522
Phone (360) 307-8783
Other names 1
- Miss Joy Kathleen Reimers
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3311 Bethel Rd SE
Suite 110
Port Orchard, WA 98366-5600
Phone (360) 895-3347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1174 | WA | MD | Audiologist |
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.
-
- Audiologist-Hearing Aid Fitter
- Port Orchard, WA
- NPI 1013286251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427018985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 NW DURANGO CT",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983118522",
"telephone_number": "360-307-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 BETHEL RD SE",
"address_2": "SUITE #110",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983665600",
"telephone_number": "360-895-3347",
"fax_number": "360-895-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSSON",
"first_name": "JOY",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "1174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOY",
"last_name": "REIMERS",
"middle_name": "KATHLEEN",
"prefix": "MISS",
"credential": "M.A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.