Individual provider Active NPI

Haley Renee George

  • Audiologist-Hearing Aid Fitter
  • Elk City, OK
National Provider Identifier
1548859861
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1318 Issued in OK
Practice address
2900 W 3Rd St
Elk City, OK 73644-4324
Phone
(580) 243-0939
NPI assigned
Jan 12, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001318OtherOKOKLAHOMA STATE DEPARTMENT OF HEALTH HEARING AID DEALER AND FITTER

Other names 1

  • Haley Renee Quisenberry Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1318OKMDAddiction (Substance Use Disorder) Counselor
001318OKMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Gear PastSince Jan 17, 2021 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.

Verify at the official NPI Registry.