Organization Active NPI

North Ridge Hearing Co. LLC

  • Hearing Aid Equipment
  • Hudson, WI
National Provider Identifier
1629507769
Registry record updated Jun 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
454156 Issued in WI
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

Updated by the provider on Jun 11, 2017

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

Authorized official

Name
Deirdre Worrell, MS CCC SLP AAAFNPI 1255325205
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N036203OtherWISTATE OF WI FILE NUMBER FOR BUSINESS REGISTRATION

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.