Tori Ann Blomquist, M.S, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

21155 Issued in OR

Practice address

3857 Wolverine St NE # 16C
Salem, OR 97305-4270

Phone

(503) 588-1039

Fax

(503) 588-1468

NPI assigned

Apr 5, 2012

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Tori Ann Greep Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley ENT PCGroup PAC ID 8729149711, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Valley ENT, PC

  • Otolaryngology Physician
  • Scottsdale, AZ
  • NPI 1508990185
  Medicare reassignment Care Compare group NPD
• MLM USA LLC

  dba Beltone Hearing

  • Hearing Aid Equipment
  • Glen Ellyn, IL
  • NPI 1346028404

  Audiologist

  NPD (past)
• Northern Arizona Ear Nose and Throat PC

  • Otolaryngology Physician
  • Flagstaff, AZ
  • NPI 1558449900
  NPD (past)
• Valley ENT, PC

  • Otolaryngology Physician
  • Tucson, AZ
  • NPI 1770852600
  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1861758617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 WOLVERINE ST NE # 16C",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973054270",
            "telephone_number": "503-588-1039",
            "fax_number": "503-588-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 WOLVERINE ST NE # 16C",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973054270",
            "telephone_number": "503-588-1039",
            "fax_number": "503-588-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMQUIST",
        "first_name": "TORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "21155",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "21155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "GREEP",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "M.S., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blessed & Happy Adult Day Services
• Blessed Hands
• Amy Bliss
• Vivien Bliss, MS LPC MAC
• Sadie Blommendahl
• Debra Ida Blondo, RN
• Andrew Lytle Blood
• Bloom Physical Therapy
• Lynette Careen Bloom, CADC I
• Bloomer Counseling and Consulting, Inc.

• Audiologist-Hearing Aid Fitter in Salem, OR
• Providers in Salem, OR by specialty
• Audiologist-Hearing Aid Fitter in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.