Individual provider Active NPI

Brenda Lynn Drake, AAS, BC-HIS

  • Hearing Instrument Specialist
  • Spokane, WA
National Provider Identifier
1487786224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA00003416 Issued in WA
Practice address
1912 N Division St Ste 102
Spokane, WA 99207-2271
Phone
(509) 328-6731
Fax
(509) 328-4327
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 HA00003416 WA Primary

Addresses

Primary practice location

1912 N Division St Ste 102
Spokane, WA 99207-2271

Mailing address

15109 N Meadow View Dr
Mead, WA 99021-9557
Phone (509) 465-0370

Other identifiers 3

IdentifierTypeStateIssuer
9058991MedicaidWA
07047OtherWAHEARPO
0209481OtherWALABOR AND INDUSTRIES

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
Credentials
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
HA00003416WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Hearing Aid Center Inc Hearing Instrument Specialist 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487786224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15109 N MEADOW VIEW DR",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219557",
            "telephone_number": "509-465-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 N DIVISION ST STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072271",
            "telephone_number": "509-328-6731",
            "fax_number": "509-328-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "BRENDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "AAS, BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00003416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058991",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARPO",
            "identifier": "07047",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0209481",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.