Organization Active NPI

Northland Audiology & Hearing Serv Inc.

  • Audiologist-Hearing Aid Fitter
  • Juneau, AK
National Provider Identifier
1649372129
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
NORTHLAND AUDIOLOGY & HEARING SERV INC.
Practice address
8800 Glacier Hwy
Suite 116
Juneau, AK 99801-8087
Phone
(907) 789-6780
Fax
(907) 789-5828
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Nancy Eileen Shima
Title
Ceo/Owner
Phone
(907) 789-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AK Primary

Addresses

Primary practice location

8800 Glacier Hwy
Suite 116
Juneau, AK 99801-8087

Mailing address

PO Box 32257
Juneau, AK 99803-2257
Phone (907) 789-6780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081001000037 AK Part B Supplier - Clinic/Group Practice 1456429646 Receives reassigned benefits from 5 practitioners
Practice locations: Juneau, AK

National Provider Directory

National Provider Directory

Locations

8800 Glacier Hwy
Ste 116
Juneau, AK 99801
Phone (907) 789-6780

Practitioners & affiliated clinicians

Practitioners 9

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": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1649372129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32257",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998032257",
            "telephone_number": "907-789-6780",
            "fax_number": "907-789-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 116",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018087",
            "telephone_number": "907-789-6780",
            "fax_number": "907-789-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND AUDIOLOGY & HEARING SERV INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "SHIMA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "907-789-6780"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.