Active NPI
Humboldt Audiology, PC
- Audiologist
- Eureka, CA
National Provider Identifier
1669684155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- HUMBOLDT AUDIOLOGY, PC
- Practice address
- 831 Harris St Ste D
Eureka, CA 95503-4541 - Phone
- (707) 443-7111
- Fax
- (707) 443-7117
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Emily A. Weber, MA
- Title
- Practice Manager
- Phone
- (707) 443-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
831 Harris St Ste D
Eureka, CA 95503-4541
Mailing address
831 Harris St Ste D
Eureka, CA 95503-4541
Phone (707) 443-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0023640 | Medicaid | CA |
Other names 1
- Humboldt Audiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
831 Harris St
Ste D
Eureka, CA 95503
Phone (707) 443-7111
Practitioners & affiliated clinicians
Practitioners 1
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": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1669684155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 HARRIS ST STE D",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034541",
"telephone_number": "707-443-7111",
"fax_number": "707-443-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 HARRIS ST STE D",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034541",
"telephone_number": "707-443-7111",
"fax_number": "707-443-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBOLDT AUDIOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "707-443-7111",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0023640",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Humboldt Audiology",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.