Individual provider Active NPI

Reed Harris, HIS

  • Hearing Instrument Specialist
  • Hudson, WI
National Provider Identifier
1467088559
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1618-60 Issued in WI
Practice address
131 Carmichael Rd Ste 204
Hudson, WI 54016-8271
Phone
(715) 381-1330
NPI assigned
Mar 20, 2020
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1618-60 WI Primary

Addresses

Primary practice location

131 Carmichael Rd Ste 204
Hudson, WI 54016-8271

Mailing address

131 Carmichael Rd Ste 204
Hudson, WI 54016-8271
Phone (715) 381-1330

Other identifiers 1

IdentifierTypeStateIssuer
1618-60MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address reedharris@frasierenterprises.com Direct
Direct Messaging Address reedharris@frasierenterprises.com Health Information Exchange (HIE)

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
1618-60WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid West Hearing LLC PastSince Mar 22, 2020 Accepting new patients
Miracle Ear, Inc Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 2

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1467088559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CARMICHAEL RD STE 204",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168271",
            "telephone_number": "715-381-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CARMICHAEL RD STE 204",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168271",
            "telephone_number": "715-381-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "REED",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1618-60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1618-60",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reedharris@frasierenterprises.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "131 Carmichael Rd Ste 204",
            "city": "Hudson",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540168271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reedharris@frasierenterprises.com",
            "affiliation": "N",
            "endpointDescription": "Reedharris@frasierenterprises.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "131 Carmichael Rd Ste 204",
            "city": "Hudson",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540168271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.