Basin Hearing Solutions LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

BASIN HEARING SOLUTIONS LLC

Practice address

104 Main St
Williston, ND 58801-6019

Phone

(701) 572-1077

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kelci Lee Jackson, AU.D.NPI 1477934081

Title

Audiologist

Phone

(701) 572-1077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelci Lee Jackson, AU.D.

  • Audiologist
  • Minot, ND
  • NPI 1477934081
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1700512167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016019",
            "telephone_number": "701-572-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016019",
            "telephone_number": "701-572-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN HEARING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KELCI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "701-572-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465789",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kurt Barry
• Kaleb Barstad, RPH
• Alexis Barten, PT, DPT
• Kimberly Tamara Cruz Barton
• Basin Health & Spine Center
• Arie William Bauer, DDS
• Elizabeth Lark Baum, MSW
• Melissa Bearce, RD
• Tammy Bearce, L.R.D.
• Ashley Beard, DDS

• Audiologist in Williston, ND
• Providers in Williston, ND by specialty
• Audiologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.