NPIMap

Organization Active NPI

Russell T. Terrill Aud

Doing business as Redwood Audiology

  • Audiologist
  • Arcata, CA
National Provider Identifier
1952581084
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2015 Issued in CA
Legal business name
RUSSELL T. TERRILL AUD
Doing business as
Redwood Audiology
Practice address
4677 Valley East Blvd.
Suite 2
Arcata, CA 95521-0000
Phone
(707) 822-9122
Fax
(707) 822-1969
NPI assigned
Nov 6, 2007
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Russell T Terrill, AUDNPI 1366468118
Title
Owner/Audiologist
Phone
(707) 822-9122

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2015 CA Primary
Audiologist 231H00000X AU1484 CA
Audiologist-Hearing Aid Fitter 237600000X HA7245 CA
Audiologist-Hearing Aid Fitter 237600000X HA7255 CA

Addresses

Primary practice location

4677 Valley East Blvd.
Suite 2
Arcata, CA 95521-0000

Mailing address

4677 Valley East Blvd
Suite 2
Arcata, CA 95521-0000
Phone (707) 822-9122

Other names 1

  • Redwood Audiology Doing business as

National Provider Directory

National Provider Directory

Locations

4677 Valley East Blvd
#2
Arcata, CA 95521
Phone (707) 633-3009

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1952581084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 VALLEY EAST BLVD",
            "address_2": "SUITE 2",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955210000",
            "telephone_number": "707-822-9122",
            "fax_number": "707-822-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 VALLEY EAST BLVD.",
            "address_2": "SUITE 2",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955210000",
            "telephone_number": "707-822-9122",
            "fax_number": "707-822-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL T. TERRILL AUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "TERRILL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "707-822-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2015",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1484",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA7245",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA7255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.