Active NPI
Jacqueline M Carr
- Hearing Instrument Specialist
- San Luis Obispo, CA
National Provider Identifier
1710190764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA 4180
- Practice address
- 3220 South Higuera Street
Suite 320
San Luis Obispo, CA 93401-6987 - Phone
- (805) 541-1790
- Fax
- (805) 541-1793
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA 4180 | CA | Primary |
Addresses
Primary practice location
3220 South Higuera Street
Suite 320
San Luis Obispo, CA 93401-6987
Mailing address
3220 South Higuera Street
Ste. 320
San Luis Obispo, CA 93401-6987
Phone (805) 541-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA 4180 | Other | CA | DISPENSER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA 4180 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen M Scott M a | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1710190764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 SOUTH HIGUERA STREET",
"address_2": "STE. 320",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016987",
"telephone_number": "805-541-1790",
"fax_number": "805-541-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 SOUTH HIGUERA STREET",
"address_2": "SUITE 320",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016987",
"telephone_number": "805-541-1790",
"fax_number": "805-541-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "JACQUELINE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA 4180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISPENSER LICENSE",
"identifier": "HA 4180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.