Individual provider Active NPI

Susan Irene Craft, HIS

  • Hearing Instrument Specialist
  • Jasper, TX
National Provider Identifier
1750668034
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
80339 Issued in TX
Practice address
605 W Gibson St
Jasper, TX 75951-4909
Phone
(903) 241-0378
Fax
(409) 384-2378
NPI assigned
Nov 14, 2011
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80339 TX Primary

Addresses

Primary practice location

605 W Gibson St
Jasper, TX 75951-4909

Mailing address

605 W Gibson St
Jasper, TX 75951-4909
Phone (409) 384-2383

Other practice location 1

815 Worth St
Hemphill, TX 75948-7210
Phone (409) 787-3388

Other names 1

  • Susan Irene Bolgiano Former name

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

LicenseStateTypeSpecialty
80339TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hemphill Hearing Center, LLC Current Accepting new patients

Locations

815 Worth St
Hemphill, TX 75948
Phone (409) 787-3388

530 S Wheeler St
Jasper, TX 75951

605 W Gibson St
Jasper, TX 75951
Phone (409) 489-0500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1750668034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514909",
            "telephone_number": "409-384-2383",
            "fax_number": "409-384-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514909",
            "telephone_number": "903-241-0378",
            "fax_number": "409-384-2378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Worth St",
            "address_purpose": "LOCATION",
            "city": "Hemphill",
            "state": "TX",
            "postal_code": "759487210",
            "country_code": "US",
            "telephone_number": "409-787-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "SUSAN",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BOLGIANO",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.