Organization Active NPI

Spirit River Audiology LLC

  • Audiologist
  • Cambridge, MN
National Provider Identifier
1942592928
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6425 Issued in MN
Legal business name
SPIRIT RIVER AUDIOLOGY LLC
Practice address
237 2ND Ave SW
#230
Cambridge, MN 55008-1536
Phone
(763) 300-3019
NPI assigned
May 9, 2011
Last updated
Jun 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Dr. Josephine Z. Helmbrecht, AU.D.NPI 1194816413
Title
Audiologist/Owner
Phone
(763) 300-3019

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
Audiologist 231H00000X 6425 MN Primary

Addresses

Primary practice location

237 2ND Ave SW
#230
Cambridge, MN 55008-1536

Mailing address

15201 Quicksilver St
Ramsey, MN 55303-5694
Phone (763) 300-3019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120831000642 MN Part B Supplier - Clinic/Group Practice 9133376841 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Plaine, MN; Cambridge, MN

National Provider Directory

National Provider Directory

Locations

110 1st Ave E
#2
Cambridge, MN 55008
Phone (763) 742-4844

237 2nd Ave SW
Ste 230
Cambridge, MN 55008
Phone (763) 300-3019

Practitioners & affiliated clinicians

Practitioners 1

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": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1942592928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 QUICKSILVER ST",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553035694",
            "telephone_number": "763-300-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 2ND AVE SW",
            "address_2": "#230",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081536",
            "telephone_number": "763-300-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT RIVER AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "HELMBRECHT",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "763-300-3019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "6425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.