Organization Active NPI

Hearing Help Audiology Clinic Inc

Doing business as Hearing Help Audiology

  • Audiologist
  • Plymouth, MN
National Provider Identifier
1639336407
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
231H00000X Issued in MN
Legal business name
HEARING HELP AUDIOLOGY CLINIC INC
Doing business as
Hearing Help Audiology
Practice address
12800 Industrial Park Blvd
#105
Plymouth, MN 55441-3974
Phone
(763) 559-0603
Fax
(763) 559-0985
NPI assigned
May 20, 2008
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Shirley Ann Fors, AU.D.NPI 1659366532
Title
Audiologist
Phone
(763) 559-0603

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
Audiologist 231H00000X 231H00000X MN Primary

Addresses

Primary practice location

12800 Industrial Park Blvd
#105
Plymouth, MN 55441-3974

Mailing address

12800 Industrial Park Blvd
#105
Plymouth, MN 55441-3974
Phone (763) 559-0603

Other names 1

  • Hearing Help Audiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000400 MN Part B Supplier - Clinic/Group Practice 6305879180 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MN

National Provider Directory

National Provider Directory

Locations

12800 Industrial Park Blvd
Ste 105
Plymouth, MN 55441
Phone (763) 550-0603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1639336407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "#105",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-559-0603",
            "fax_number": "763-559-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "#105",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-559-0603",
            "fax_number": "763-559-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING HELP AUDIOLOGY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "FORS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "763-559-0603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "231H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Help Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.