Organization Active NPI

Gunnison Hearing Center

  • Audiologist
  • Gunnison, CO
National Provider Identifier
1679750699
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
38 Issued in CO
Legal business name
GUNNISON HEARING CENTER
Practice address
114 N Boulevard St Ste 106
Gunnison, CO 81230-3011
Phone
(970) 641-2814
Fax
(970) 240-8823
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Ellyn Houghton, MSCCC-A
Title
Owner
Phone
(970) 641-2814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 38 CO Primary

Addresses

Primary practice location

114 N Boulevard St Ste 106
Gunnison, CO 81230-3011

Mailing address

114 N Boulevard St Ste 106
Gunnison, CO 81230-3011
Phone (970) 641-2814

Other identifiers 1

IdentifierTypeStateIssuer
34705775MedicaidCO

National Provider Directory

National Provider Directory

Locations

156 Colorado Ave
Montrose, CO 81401
Phone (970) 249-6968

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1679750699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N BOULEVARD ST STE 106",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303011",
            "telephone_number": "970-641-2814",
            "fax_number": "970-240-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N BOULEVARD ST STE 106",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303011",
            "telephone_number": "970-641-2814",
            "fax_number": "970-240-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "ELLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-641-2814",
        "authorized_official_credential": "MSCCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34705775",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.