Individual provider Active NPI

Eileen A Puterski, M.S.

  • Audiologist-Hearing Aid Fitter
  • Douglasville, GA
National Provider Identifier
1801049713
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
2911 Chapel Hill Rd Ste 145
Douglasville, GA 30135-7163
Phone
(770) 577-6739
Fax
(770) 577-6743
NPI assigned
Oct 23, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU 57 NV
Audiologist-Hearing Aid Fitter 237600000X HA149 NV
Audiologist-Hearing Aid Fitter 237600000X GA Primary
Hearing Instrument Specialist 237700000X GA

Addresses

Primary practice location

2911 Chapel Hill Rd Ste 145
Douglasville, GA 30135-7163

Mailing address

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999

Other practice location 1

8800 SE Sunnyside Rd
Ste. 300-N
Clackamas, OR 97015-5738
Phone (503) 659-5115

Other practice location 2

4992 Bill Gardner Pkwy
Locust Grove, GA 30248-3647
Phone (770) 914-9581

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AU 57NVMDAudiologist
HA149NVMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Soundpoint Audiology & Hearing Services LLC Audiologist Past Accepting new patients
Northland Hearing Centers, Inc Hearing Instrument Specialist PastSince Dec 15, 2019 Accepting new patients
Northland Hearing Centers, Inc Hearing Instrument Specialist Past Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 4

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801049713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 CHAPEL HILL RD STE 145",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357163",
            "telephone_number": "770-577-6739",
            "fax_number": "770-577-6743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 SE Sunnyside Rd",
            "address_2": "Ste. 300-N",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970155738",
            "country_code": "US",
            "telephone_number": "503-659-5115",
            "fax_number": "503-659-5968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4992 Bill Gardner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483647",
            "country_code": "US",
            "telephone_number": "770-914-9581",
            "fax_number": "770-914-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTERSKI",
        "first_name": "EILEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "AU 57",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "HA149",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.