Active NPI
Gunnison Hearing Center
- Audiologist
- Gunnison, CO
National Provider Identifier
1679750699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 38
- 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, 2008
- 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
- Ellyn Houghton, MSCCC-A
- Title
- Owner
- Phone
- (970) 641-2814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34705775 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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
- Jillian Margaret Grzeskiewicz, APRN
- Gunnison Anesthesia Services Inc
- Gunnison County Family Planning
- Gunnison County School District Re1J
- Gunnison Family Dentistry
- Gunnison Hinsdale Dept of Human Services (Gcdhs)
- Gunnison Podiatry LLC
- Gunnison Valley Health Senior Care Center
- Gunnison Valley Health Senior Care Center (Gunnison Valley Health Home Medical Services)
- Gunnison Valley Health Senior Care Center (Gunnison Vally Health Senior Care Center)
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.