Active NPI
North Ridge Hearing Co. LLC
- Hearing Aid Equipment
- Hudson, WI
National Provider Identifier
1629507769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- 454156
- Legal business name
- NORTH RIDGE HEARING CO. LLC
- Practice address
- 900 Crest View Dr Ste 210
Hudson, WI 54016-9517 - Phone
- (715) 381-3111
- Fax
- (715) 386-1760
- NPI assigned
- Jun 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deirdre Worrell, MS CCC SLP AAAF
- Title
- Audiologist
- Phone
- (715) 381-3111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 454156 | WI | Primary |
Addresses
Primary practice location
900 Crest View Dr Ste 210
Hudson, WI 54016-9517
Mailing address
1516 N Ridge Dr
Hudson, WI 54016-1879
Phone (715) 381-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N036203 | Other | WI | STATE OF WI FILE NUMBER FOR BUSINESS REGISTRATION |
National Provider Directory
National Provider DirectoryLocations
900 Crest View Dr
Ste 210
Hudson, WI 54016
Phone (715) 381-3111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Hudson, WI
- NPI 1255325205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497139200000",
"number": "1629507769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 N RIDGE DR",
"city": "HUDSON",
"state": "WI",
"postal_code": "540161879",
"telephone_number": "715-381-3111",
"fax_number": "715-386-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CREST VIEW DR STE 210",
"city": "HUDSON",
"state": "WI",
"postal_code": "540169517",
"telephone_number": "715-381-3111",
"fax_number": "715-386-1760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH RIDGE HEARING CO. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-11",
"last_updated": "2017-06-11",
"status": "A",
"authorized_official_last_name": "WORRELL",
"authorized_official_first_name": "DEIRDRE",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "715-381-3111",
"authorized_official_credential": "MS CCC SLP AAAF"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "WI",
"license": "454156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WI FILE NUMBER FOR BUSINESS REGISTRATION",
"identifier": "N036203",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.