NPIMap

Organization Active NPI

Kitsap Audiology & Hearing Aid Clinic, PLLC

  • Hearing Aid Equipment
  • Bremerton, WA
National Provider Identifier
1497095830
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
LD 00000966 Issued in WA
Legal business name
KITSAP AUDIOLOGY & HEARING AID CLINIC, PLLC
Practice address
2601 Cherry Ave Ste 211
Bremerton, WA 98310-4208
Phone
(360) 373-1250
Fax
(360) 373-0834
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Amy M Becken, AU.DNPI 1033158100
Title
Audiologist/Owner
Phone
(360) 373-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X LD 00000966 WA Primary

Addresses

Primary practice location

2601 Cherry Ave Ste 211
Bremerton, WA 98310-4208

Mailing address

2601 Cherry Ave Ste 211
Bremerton, WA 98310-4208
Phone (360) 373-1250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1497095830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 211",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "360-373-1250",
            "fax_number": "360-373-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 211",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "360-373-1250",
            "fax_number": "360-373-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP AUDIOLOGY & HEARING AID CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "BECKEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "360-373-1250",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WA",
            "license": "LD 00000966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.