Individual provider Active NPI

Ellen Ruth Stevens, HAD

  • Hearing Instrument Specialist
  • Broomfield, CO
National Provider Identifier
1629257472
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD-129 Issued in CO
Practice address
6821 W. 120TH Ave.
Ste #2H
Broomfield, CO 80020-2355
Phone
(303) 438-6633
Fax
(303) 438-9026
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 129 CO
Hearing Instrument Specialist 237700000X HAD-129 CO Primary

Addresses

Primary practice location

6821 W. 120TH Ave.
Ste #2H
Broomfield, CO 80020-2355

Mailing address

8800 SE Sunnyside Rd.
Ste. 300-N
Clackamas, OR 97015-5738
Phone (503) 659-5115

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
129COMDMarriage & Family Therapist
HAD-129COMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Hearing Instrument Specialist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1629257472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD.",
            "address_2": "STE. 300-N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155738",
            "telephone_number": "503-659-5115",
            "fax_number": "303-438-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 W. 120TH AVE.",
            "address_2": "STE #2H",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202355",
            "telephone_number": "303-438-6633",
            "fax_number": "303-438-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ELLEN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "129",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "HAD-129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.