Individual provider Active NPI

Barbara C Street, M.A., CCC-A

  • Audiologist
  • Ashland, OR
National Provider Identifier
1619970282
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
20555 Issued in OR
Practice address
184 Clear Creek Dr Ste 1
Ashland, OR 97520-1977
Phone
(541) 201-3201
Fax
(541) 201-3202
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 20555 OR Primary

Addresses

Primary practice location

184 Clear Creek Dr Ste 1
Ashland, OR 97520-1977

Mailing address

184 Clear Creek Dr Ste 1
Ashland, OR 97520-1977
Phone (541) 201-3201

Other identifiers 1

IdentifierTypeStateIssuer
024203001OtherORREGENCE BLUE CROSS/BLUE S

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
20555ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imaginears, Inc. PastSince Jun 21, 2005 Accepting new patients
Imaginears Past Accepting new patients
Audiology and Hearing Aid Services Inc Past Accepting new patients

Organizations & group practices 3

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1619970282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CLEAR CREEK DR STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201977",
            "telephone_number": "541-201-3201",
            "fax_number": "541-201-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CLEAR CREEK DR STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201977",
            "telephone_number": "541-201-3201",
            "fax_number": "541-201-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "BARBARA",
        "middle_name": "C",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "20555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS/BLUE S",
            "identifier": "024203001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.