NPIMap

Organization Active NPI

Peninsula Audiology & Hearing AIDS, P.S.

  • Audiologist
  • Gig Harbor, WA
National Provider Identifier
1679773410
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00000965 Issued in WA
Legal business name
PENINSULA AUDIOLOGY & HEARING AIDS, P.S.
Practice address
3212 50TH Street CT NW Ste 105
Gig Harbor, WA 98335-8527
Phone
(253) 858-3277
Fax
(253) 858-6299
NPI assigned
Jul 19, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Shann Rand, AU.D.NPI 1114072428
Title
President
Phone
(253) 858-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00000965 WA Primary

Addresses

Primary practice location

3212 50TH Street CT NW Ste 105
Gig Harbor, WA 98335-8527

Mailing address

3212 50TH Street CT NW Ste 105
Gig Harbor, WA 98335-8527
Phone (253) 858-3277

Other identifiers 5

IdentifierTypeStateIssuer
7040496MedicaidWA
0157117OtherWAWA STATE DEPT OF LABOR AN
5398207OtherWAAETNA
CK5419OtherWARAILROAD MEDICARE
RA5863OtherWAREGENCE

National Provider Directory

National Provider Directory

Locations

3212 50th Street Ct
Ste 105
Gig Harbor, WA 98335
Phone (206) 858-3277

Practitioners & affiliated clinicians

Practitioners 1

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1679773410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 50TH STREET CT NW STE 105",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358527",
            "telephone_number": "253-858-3277",
            "fax_number": "253-858-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 50TH STREET CT NW STE 105",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358527",
            "telephone_number": "253-858-3277",
            "fax_number": "253-858-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA AUDIOLOGY & HEARING AIDS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "SHANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-858-3277",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00000965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7040496",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT OF LABOR AN",
            "identifier": "0157117",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5398207",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5419",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "RA5863",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.