Organization Active NPI

Advanced Audiology and Hearing AIDS, LLC

  • Audiologist-Hearing Aid Fitter
  • Ruston, LA
National Provider Identifier
1568023588
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
ADVANCED AUDIOLOGY AND HEARING AIDS, LLC
Practice address
1503 Goodwin Rd Ste 205
Ruston, LA 71270-2938
Phone
(318) 251-1572
Fax
(318) 251-1572
NPI assigned
Jun 21, 2019
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dr. Jerrilyn Turner Frasier, AU.D.
Title
Owner/ Doctor of Audiology
Phone
(318) 251-1572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X NU Primary

Addresses

Primary practice location

1503 Goodwin Rd Ste 205
Ruston, LA 71270-2938

Mailing address

1503 Goodwin Rd Ste 205
Ruston, LA 71270-2938
Phone (318) 251-1572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200207000102 LA Part B Supplier - Clinic/Group Practice 7315373537 Receives reassigned benefits from 3 practitioners
Practice locations: Ruston, LA; West Monroe, LA

National Provider Directory

National Provider Directory

Locations

1503 Goodwin Rd
Ste 205
Ruston, LA 71270
Phone (318) 251-1572

2271 Arkansas Rd
West Monroe, LA 71291
Phone (318) 582-5317

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1568023588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 GOODWIN RD STE 205",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702938",
            "telephone_number": "318-251-1572",
            "fax_number": "318-251-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 GOODWIN RD STE 205",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702938",
            "telephone_number": "318-251-1572",
            "fax_number": "318-251-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY AND HEARING AIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "FRASIER",
        "authorized_official_first_name": "JERRILYN",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OWNER/ DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "318-251-1572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.