Anacortes Hearing Center Inc

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

LD00002957 Issued in WA

Legal business name

ANACORTES HEARING CENTER INC

Practice address

3202 Commercial Ave
Suite B
Anacortes, WA 98221-4212

Phone

(360) 588-1956

Fax

(360) 588-0107

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Holly A Kennedy, AU.D.NPI 1730248790

Title

President

Phone

(360) 588-1956

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Holly A Kennedy, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Anacortes, WA
  • NPI 1730248790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1780867069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 COMMERCIAL AVE",
            "address_2": "SUITE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214212",
            "telephone_number": "360-588-1956",
            "fax_number": "360-588-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 COMMERCIAL AVE",
            "address_2": "SUITE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214212",
            "telephone_number": "360-588-1956",
            "fax_number": "360-588-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACORTES HEARING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-588-1956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00002957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Audiologist-Hearing Aid Fitter in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.