Individual provider Active NPI

Gennette Marie Erickson

  • Hearing Instrument Specialist
  • Pagosa SPGS, CO
National Provider Identifier
1508581570
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD475 Issued in CO
Practice address
190 Talisman Dr Unit C3
Pagosa SPGS, CO 81147-9171
Phone
(970) 731-4554
Fax
(970) 731-1868
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 HAD475 CO Primary

Addresses

Primary practice location

190 Talisman Dr Unit C3
Pagosa SPGS, CO 81147-9171

Mailing address

190 Talisman Dr Unit C3
Pagosa SPGS, CO 81147-9171
Phone (970) 731-4554

Other practice location 1

2101 Main St Ste C
Alamosa, CO 81101-2685
Phone (719) 587-9820

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.coloradohearingaid.com Other
CONNECT URL www.coloradohearingaid.com Other

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
HAD475COMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Huh Inc Hearing Instrument Specialist PastSince Dec 12, 2021 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1508581570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 TALISMAN DR UNIT C3",
            "city": "PAGOSA SPGS",
            "state": "CO",
            "postal_code": "811479171",
            "telephone_number": "970-731-4554",
            "fax_number": "970-731-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 TALISMAN DR UNIT C3",
            "city": "PAGOSA SPGS",
            "state": "CO",
            "postal_code": "811479171",
            "telephone_number": "970-731-4554",
            "fax_number": "970-731-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Alamosa",
            "state": "CO",
            "postal_code": "811012685",
            "country_code": "US",
            "telephone_number": "719-587-9820",
            "fax_number": "719-589-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "GENNETTE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "HAD475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.coloradohearingaid.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "190 Talisman Dr Unit C3",
            "city": "Pagosa Spgs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811479171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.coloradohearingaid.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2101 Main St Ste C",
            "city": "Alamosa",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811012685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pagosa SPGS, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.