NPIMap

Organization Active NPI

Avada Audiology and Hearing Care

  • Preferred Provider Organization
  • Waterford, WI
National Provider Identifier
1912372418
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
143860 Issued in WI
Legal business name
AVADA AUDIOLOGY AND HEARING CARE
Practice address
813 Fox Lane Suite B
Waterford, WI 53404
Phone
(262) 514-4322
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Mrs. Lisa HaeuserNPI 1750749156
Title
His
Phone
(262) 514-4322

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
Preferred Provider Organization 305R00000X 143860 WI Primary

Addresses

Primary practice location

813 Fox Lane Suite B
Waterford, WI 53404

Mailing address

813 Fox LN
Waterford, WI 53185-4511
Phone (262) 514-4322

National Provider Directory

National Provider Directory

Locations

813 Fox Ln
Waterford, WI 53185
Phone (262) 514-4322

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1912372418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 FOX LN",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854511",
            "telephone_number": "262-514-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FOX LANE SUITE B",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "53404",
            "telephone_number": "262-514-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVADA AUDIOLOGY AND HEARING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "HAEUSER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HIS",
        "authorized_official_telephone_number": "262-514-4322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WI",
            "license": "143860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.