Active NPI
Susan Harris
- Hearing Instrument Specialist
- Louisville, KY
National Provider Identifier
1639677792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 239675
- Practice address
- 2239 Bardstown Rd
Louisville, KY 40205-1917 - Phone
- (502) 454-0414
- Fax
- (502) 454-6262
- NPI assigned
- Jan 24, 2018
- Last updated
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 239675 | KY | Primary |
Addresses
Primary practice location
2239 Bardstown Rd
Louisville, KY 40205-1917
Mailing address
2239 Bardstown Rd
Louisville, KY 40205-1917
Phone (502) 454-0414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 239675 | KY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ken-Bel, Inc | Past | Accepting new patients | |
| Audiology Services Company USA, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Avada Audiology & Hearing Center
- Audiologist-Hearing Aid Fitter
- Louisville, KY
- NPI 1740277482
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1639677792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051917",
"telephone_number": "502-454-0414",
"fax_number": "502-454-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051917",
"telephone_number": "502-454-0414",
"fax_number": "502-454-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "239675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.