Trufidelity Hearing LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

TRUFIDELITY HEARING LLC

Practice address

1368 E Platteville Blvd
Pueblo West, CO 81007-1027

Phone

(918) 630-5033

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Jason HaraderNPI 1023325552

Title

Owner

Phone

(918) 630-5033

Specialties & licenses 1

Addresses

Other names 1

• Mobile Audiology of Oklahoma Former legal business name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Michael Harader, AUD

  • Audiologist
  • Manhattan, KS
  • NPI 1023325552

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1841010576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 E PLATTEVILLE BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071027",
            "telephone_number": "918-630-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 E PLATTEVILLE BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071027",
            "telephone_number": "918-630-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUFIDELITY HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "HARADER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-630-5033"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Audiology of Oklahoma",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mobile Audiology of Oklahoma",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Audiologist in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.