Individual provider Active NPI

Claudia Dembski Hawley, M A CCC A

  • Audiologist
  • Director, MN
National Provider Identifier
1851398028
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5114 Issued in MN
Practice address
5641 Zumbra Drive
Suite 111
Director, MN 55381
Phone
(952) 474-2305
Fax
(952) 474-9222
NPI assigned
Jul 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5114 MN Primary

Addresses

Primary practice location

5641 Zumbra Drive
Suite 111
Director, MN 55381

Mailing address

5641 Zumbra Drive
Suite 111
Excelsior, MN 55331
Phone (952) 474-2305

Other identifiers 1

IdentifierTypeStateIssuer
894553500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5641 Zumbra Dr
Excelsior, MN 55331-7760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5114MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1851398028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 ZUMBRA DRIVE",
            "address_2": "SUITE 111",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "55331",
            "telephone_number": "952-474-2305",
            "fax_number": "952-474-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 ZUMBRA DRIVE",
            "address_2": "SUITE 111",
            "city": "DIRECTOR",
            "state": "MN",
            "postal_code": "55381",
            "telephone_number": "952-474-2305",
            "fax_number": "952-474-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "CLAUDIA",
        "middle_name": "DEMBSKI",
        "credential": "M A CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-04",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894553500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.