Organization Active NPI

Integrity Hearing Services, PS

  • Hearing and Speech Clinic/Center
  • Lakewood, WA
National Provider Identifier
1891967071
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
LD00001210 Issued in WA
Legal business name
INTEGRITY HEARING SERVICES, PS
Practice address
7525 Custer Rd W
Lakewood, WA 98499
Phone
(253) 476-4327
Fax
(253) 476-0585
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Danette P Jackson, MA, CCC-ANPI 1013034255
Title
Audiologist
Phone
(253) 476-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X LD00001210 WA Primary

Addresses

Primary practice location

7525 Custer Rd W
Lakewood, WA 98499

Mailing address

7515 Custer Rd W
Lakewood, WA 98499-8138
Phone (253) 476-4327

Other identifiers 4

IdentifierTypeStateIssuer
1013034255OtherPERSONAL NPI
7127665MedicaidWA
S43280OtherWAUPIN
9058553MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000039 WA Part B Supplier - Clinic/Group Practice 5698718815 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory

Locations

7515 Custer Rd W
Lakewood, WA 98499
Phone (253) 476-4327

7525 Custer Rd W
Tacoma, WA 98499
Phone (253) 475-4327

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1891967071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 CUSTER RD W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998138",
            "telephone_number": "253-476-4327",
            "fax_number": "253-476-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 CUSTER RD W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-476-4327",
            "fax_number": "253-476-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HEARING SERVICES, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "253-476-4327",
        "authorized_official_credential": "MA, CCC-A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WA",
            "license": "LD00001210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1013034255",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127665",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "S43280",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.