Individual provider Active NPI

Tama Rose Bogert, A.A.S.-H.I.S. #4369

  • Hearing Instrument Specialist
  • Spokane, WA
National Provider Identifier
1639400500
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
4369 Issued in WA
Practice address
9502 N Newport Hwy
Suite 2
Spokane, WA 99218-1147
Phone
(509) 465-2243
Fax
(509) 465-2269
NPI assigned
Jan 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 4369 WA Primary

Addresses

Primary practice location

9502 N Newport Hwy
Suite 2
Spokane, WA 99218-1147

Mailing address

4016 W Princeton Ave
Spokane, WA 99205-1861
Phone (509) 327-5045

Other identifiers 1

IdentifierTypeStateIssuer
4369OtherWAHEARING INSTRUMENT FITTER

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
4369WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1639400500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 W PRINCETON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051861",
            "telephone_number": "509-327-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 N NEWPORT HWY",
            "address_2": "SUITE 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181147",
            "telephone_number": "509-465-2243",
            "fax_number": "509-465-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGERT",
        "first_name": "TAMA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "A.A.S.-H.I.S. #4369",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-16",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "4369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INSTRUMENT FITTER",
            "identifier": "4369",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.