Active NPI
Haley Renee George
- Audiologist-Hearing Aid Fitter
- Elk City, OK
National Provider Identifier
1548859861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1318
- Practice address
- 2900 W 3Rd St
Elk City, OK 73644-4324 - Phone
- (580) 243-0939
- NPI assigned
- Jan 12, 2021
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 001318 | OK | |
| Audiologist-Hearing Aid Fitter | 237600000X | 1318 | OK | Primary |
Addresses
Primary practice location
2900 W 3Rd St
Elk City, OK 73644-4324
Mailing address
PO Box 451
Elk City, OK 73648-0451
Phone (802) 430-9395
Other practice location 1
100 W Broadway St
Altus, OK 73521-3802
Phone (580) 482-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001318 | Other | OK | OKLAHOMA STATE DEPARTMENT OF HEALTH HEARING AID DEALER AND FITTER |
Other names 1
- Haley Renee Quisenberry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | haley@heargeaok.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
| License | State | Type | Specialty |
|---|---|---|---|
| 1318 | OK | MD | Addiction (Substance Use Disorder) Counselor |
| 001318 | OK | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Gear | 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, 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": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1548859861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 451",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736480451",
"telephone_number": "802-430-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W 3RD ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736444324",
"telephone_number": "580-243-0939"
}
],
"practiceLocations": [
{
"address_1": "100 W Broadway St",
"address_purpose": "LOCATION",
"city": "Altus",
"state": "OK",
"postal_code": "735213802",
"country_code": "US",
"telephone_number": "580-482-4327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "HALEY",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": "001318",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OK",
"license": "1318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE DEPARTMENT OF HEALTH HEARING AID DEALER AND FITTER",
"identifier": "001318",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "haley@heargeaok.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "wayne@heargearok.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "100 W Broadway St",
"city": "Altus",
"state": "OK",
"country_code": "US",
"postal_code": "735213802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HALEY",
"last_name": "QUISENBERRY",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.