Individual provider Active NPI

Elizabeth Guadalupe Barragan

  • Audiologist-Hearing Aid Fitter
  • Sacramento, CA
National Provider Identifier
1538779830
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU3577 Issued in CA
Practice address
650 University Ave Ste 108
Sacramento, CA 95825-6726
Phone
(916) 646-2471
Fax
(916) 646-2472
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA8586 CA
Audiologist-Hearing Aid Fitter 237600000X AU3577 CA Primary

Addresses

Primary practice location

650 University Ave Ste 108
Sacramento, CA 95825-6726

Mailing address

650 University Ave Ste 108
Sacramento, CA 95825-6726
Phone (916) 646-2471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120002319 CA Practitioner - Qualified Audiologist 6901217017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirsten McWilliams Doctor of Audiology IncGroup PAC ID 3678974524, 2 clinicians

Practice addresses (Care Compare)

725 University Ave
Sacramento, CA 95825-6708
Phone (916) 646-2471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3577CAMDOccupational Therapist
AU3577CAMDAudiologist-Hearing Aid Fitter
HA8586CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirsten McWilliams Doctor of Audiology Inc. Audiologist-Hearing Aid Fitter CurrentSince Apr 13, 2022 Accepting new patients

Locations

725 University Ave
Sacramento, CA 95825
Phone (916) 646-2471

650 University Ave
Ste 108
Sacramento, CA 95825
Phone (916) 646-2471

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1538779830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNIVERSITY AVE STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256726",
            "telephone_number": "916-646-2471",
            "fax_number": "916-646-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNIVERSITY AVE STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256726",
            "telephone_number": "916-646-2471",
            "fax_number": "916-646-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "ELIZABETH",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8586",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.