Renata Sibgatullina, HAS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAS-P-10139429 Issued in OR

Practice address

11390 SE 82ND Ave
Ste. 801
Happy Valley, OR 97086-7637

Phone

(503) 653-5004

Fax

(503) 794-0531

NPI assigned

Sep 26, 2011

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1619250651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980380350",
            "telephone_number": "425-358-0956",
            "fax_number": "877-481-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11390 SE 82ND AVE",
            "address_2": "STE. 801",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867637",
            "telephone_number": "503-653-5004",
            "fax_number": "503-794-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBGATULLINA",
        "first_name": "RENATA",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-T-10141214",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-10139429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Hearing Instrument Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.