Renee D Flacksbarth, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2686 Issued in MN

Practice address

1611 County Rd. B W.
204
Roseville, MN 55113-5021

Phone

(651) 631-9363

Fax

(651) 639-0896

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miracle Ear

  • Audiologist-Hearing Aid Fitter
  • Roseville, MN
  • NPI 1225209174
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1740591759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W",
            "address_2": "204",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135021",
            "telephone_number": "651-631-9363",
            "fax_number": "651-639-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY RD. B W.",
            "address_2": "204",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135021",
            "telephone_number": "651-631-9363",
            "fax_number": "651-639-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACKSBARTH",
        "first_name": "RENEE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Renee Zachman Ferris, PA-C
• Gina Fick, DNP, APRN, FNP-C
• Gail Fields, RN
• Fioravanti Enterprises LLC (Senior Helpers)
• Randall C. Flacksbarth, HIS
• Julie Mae Flayac, RN
• Elizabeth Lee Fleming
• Brian Patrick Flemming, M.D.
• Sommer Flemming
• FMG Lovell Avenue Minnesota LLC (Rose of Sharon Manor)

• Hearing Instrument Specialist in Roseville, MN
• Providers in Roseville, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.