Organization Active NPI

Simply Hear

  • Hearing Instrument Specialist
  • Bremerton, WA
National Provider Identifier
1649608423
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
LD60183332 Issued in WA
Legal business name
SIMPLY HEAR
Practice address
2635 Wheaton Way
Bremerton, WA 98310-3318
Phone
(360) 373-2571
Fax
(360) 479-4970
NPI assigned
Oct 14, 2013
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Robin Fiscus, AUDNPI 1073864575
Title
Owner
Phone
(360) 373-2571

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 Instrument Specialist 237700000X LD60183332 WA Primary

Addresses

Primary practice location

2635 Wheaton Way
Bremerton, WA 98310-3318

Mailing address

2635 Wheaton Way
Bremerton, WA 98310-3318
Phone (360) 373-2571

Other identifiers 1

IdentifierTypeStateIssuer
1073864575OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603002097 WA Part B Supplier - Clinic/Group Practice 7618190067 Receives reassigned benefits from 1 practitioner
Practice locations: Bremerton, WA

National Provider Directory

National Provider Directory

Locations

2635 Wheaton Way
Bremerton, WA 98310
Phone (360) 373-2571

Practitioners & affiliated clinicians

Practitioners 2

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": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1649608423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-373-2571",
            "fax_number": "360-479-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-373-2571",
            "fax_number": "360-479-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY HEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "FISCUS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-373-2571",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "LD60183332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073864575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.