Individual provider Active NPI

Courtney Thayer

  • Audiologist
  • Des Moines, IA
National Provider Identifier
1467816520
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
3901 Ingersoll Ave
Des Moines, IA 50312-3505
Phone
(515) 274-9136
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

3901 Ingersoll Ave
Des Moines, IA 50312-3505

Mailing address

3901 Ingersoll Ave
Des Moines, IA 50312-3505
Phone (515) 274-9136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721002004 IA Practitioner - Qualified Audiologist 9133412695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merit Hearing LLCGroup PAC ID 0244579696, 5 clinicians

Practice addresses (Care Compare)

2910 Westown Pkwy
110 Merit Hearing
West Des Moines, IA 50266-1308
Phone (515) 499-8622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Hearing LLC CurrentSince Apr 5, 2022 Accepting new patients
Broadlawns Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Broadlawns Medical Center CurrentSince Jan 1, 2021 Accepting new patients

Locations

3720 N Ankeny Blvd
Ste 103
Ankeny, IA 50023
Phone (515) 639-3775

3434 W Broadway
Ste 100B
Council Bluffs, IA 51501

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

2910 Westown Pkwy
Ste 110
West Des Moines, IA 50266
Phone (515) 499-8622

Organizations & group practices 3

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1467816520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123505",
            "telephone_number": "515-274-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123505",
            "telephone_number": "515-274-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.

Verify at the official NPI Registry.