Active NPI
Kelly Michelle Scoggins, HIS
- Hearing Instrument Specialist
- San Diego, CA
National Provider Identifier
1487042875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAD7317
- Practice address
- 2934 Lincoln Ave
San Diego, CA 92104-2909 - Phone
- (619) 283-8400
- Fax
- (619) 283-8086
- NPI assigned
- Jan 7, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAD7317 | CA | Primary |
| Speech/Language/Hearing Specialist/Technologist | 235500000X | HAD7317 | CA |
Addresses
Primary practice location
2934 Lincoln Ave
San Diego, CA 92104-2909
Mailing address
2934 Lincoln Ave
San Diego, CA 92104-2909
Phone (619) 283-8400
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
| License | State | Type | Specialty |
|---|---|---|---|
| HAD7317 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearx West Inc | Past | Accepting new patients | |
| Hearx West, LLC | Past | Accepting new patients | |
| A-1 Hearing Aid Centers, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
| Helix Hearing Care (California) Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 4
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.
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Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1487042875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 LINCOLN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042909",
"telephone_number": "619-283-8400",
"fax_number": "619-283-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2934 LINCOLN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042909",
"telephone_number": "619-283-8400",
"fax_number": "619-283-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOGGINS",
"first_name": "KELLY",
"middle_name": "MICHELLE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HAD7317",
"primary": true
},
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "CA",
"license": "HAD7317",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.