NPIMap

Organization Active NPI

Hearing Advantage LLC

  • Audiologist
  • Woodruff, WI
National Provider Identifier
1912246240
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
573156 Issued in WI
Legal business name
HEARING ADVANTAGE LLC
Practice address
11122 Tuckaway Rd
Woodruff, WI 54568-9761
Phone
(715) 298-4437
Fax
(715) 298-4439
NPI assigned
Feb 6, 2013
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Mr. Jesse C Kaster
Title
Business Owner
Phone
(715) 298-4437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 573156 WI Primary

Addresses

Primary practice location

11122 Tuckaway Rd
Woodruff, WI 54568-9761

Mailing address

5404 Alderson St
Suite 200
Schofield, WI 54476-2293
Phone (715) 298-4437

Other identifiers 1

IdentifierTypeStateIssuer
42837100MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Hearing Advantage LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1912246240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 ALDERSON ST",
            "address_2": "SUITE 200",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762293",
            "telephone_number": "715-298-4437",
            "fax_number": "715-298-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 TUCKAWAY RD",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689761",
            "telephone_number": "715-298-4437",
            "fax_number": "715-298-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "KASTER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "715-298-4437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "573156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42837100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.