Active NPI
Susan K Healea, MA-CCCA
- Audiologist
- Longview, WA
National Provider Identifier
1912947722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00000957
- Practice address
- 820 11TH Ave
Longview, WA 98632-2402 - Phone
- (360) 423-0960
- Fax
- (360) 423-8778
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD00000957 | WA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | LD00000957 | WA |
Addresses
Primary practice location
820 11TH Ave
Longview, WA 98632-2402
Mailing address
820 11TH Ave
Longview, WA 98632-2402
Phone (360) 423-0960
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06222 | Other | WA | REGENCE |
| 9029919 | Medicaid | WA | |
| 0123184 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD00000957 | WA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Columbia Head & Neck Associates PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Longview, WA
- NPI 1215150313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1912947722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 11TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322402",
"telephone_number": "360-423-0960",
"fax_number": "360-423-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 11TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322402",
"telephone_number": "360-423-0960",
"fax_number": "360-423-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALEA",
"first_name": "SUSAN",
"middle_name": "K",
"credential": "MA-CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00000957",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD00000957",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "06222",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9029919",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0123184",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.