Individual provider Active NPI

Kristen Furseth, AU.D.

  • Audiologist
  • Vancouver, WA
National Provider Identifier
1780034637
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
14602 NE Fourth Plain Blvd
Suite H
Vancouver, WA 98682-5000
Phone
(360) 425-3444
NPI assigned
Jun 21, 2016
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

14602 NE Fourth Plain Blvd
Suite H
Vancouver, WA 98682-5000

Mailing address

14602 NE Fourth Plain Blvd
Suite H
Vancouver, WA 98682-5000
Phone (360) 425-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707002323 OR Practitioner - Qualified Audiologist 0648549584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Ear Nose and Throat LLPGroup PAC ID 5597737643, 14 clinicians

Practice addresses (Care Compare)

3099 River Rd S
Suite 150
Salem, OR 97302-9754
Phone (503) 581-1567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Ear Nose & Throat LLP CurrentSince May 30, 2017 Accepting new patients

Locations

3099 River Rd S
Ste 120
Salem, OR 97302
Phone (503) 485-2581

3099 River Rd S
Ste 150
Salem, OR 97302
Phone (503) 485-2581

3099 River Rd S
Ste 200
Salem, OR 97302

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1780034637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 NE FOURTH PLAIN BLVD",
            "address_2": "SUITE H",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825000",
            "telephone_number": "360-425-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14602 NE FOURTH PLAIN BLVD",
            "address_2": "SUITE H",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825000",
            "telephone_number": "360-425-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURSETH",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.