Individual provider Active NPI

Brittany Weaks

  • Hearing Instrument Specialist
  • Houma, LA
National Provider Identifier
1508501453
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA708 Issued in MS
Practice address
5922 W Main St Ste B-2
Houma, LA 70360-1715
Phone
(337) 417-9200
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 HA708 MS Primary

Addresses

Primary practice location

5922 W Main St Ste B-2
Houma, LA 70360-1715

Mailing address

5750 Johnston St Ste 502
Lafayette, LA 70503-5334
Phone (337) 417-9200

Other identifiers 1

IdentifierTypeStateIssuer
010537653OtherLADRIVER'S LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insurance@miracle-earla.com

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
HA708MSMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1508501453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 502",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-417-9200",
            "fax_number": "337-735-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 W MAIN ST STE B-2",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703601715",
            "telephone_number": "337-417-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKS",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MS",
            "license": "HA708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "010537653",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@miracle-earla.com",
            "affiliation": "N",
            "address_1": "5922 W Main St Ste B-2",
            "city": "Houma",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703601715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.