Organization Active NPI

Hearing and Audiology Sevices, LLC

  • Audiologist
  • Bolivar, MO
National Provider Identifier
1952653487
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01895 Issued in MO
Legal business name
HEARING AND AUDIOLOGY SEVICES, LLC
Practice address
1300 N Oakland Ave
Bolivar, MO 65613-3018
Phone
(417) 328-6535
Fax
(417) 890-9127
NPI assigned
Oct 8, 2012
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Kristine Grbac, AUD
Title
President
Phone
(417) 328-6535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01895 MO Primary

Addresses

Primary practice location

1300 N Oakland Ave
Bolivar, MO 65613-3018

Mailing address

2527 E Grand St
Springfield, MO 65804-0440
Phone (417) 328-6535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130507000640 MO Part B Supplier - Clinic/Group Practice 3072750280 Receives reassigned benefits from 1 practitioner
Practice locations: Bolivar, MO

National Provider Directory

National Provider Directory
Tax ID family
Hearing and Audiology Sevices LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1165 N Butterfield Rd
Bldg B
Bolivar, MO 65613
Phone (417) 838-7697

1722 S Glenstone Ave
Ste J
Springfield, MO 65804
Phone (417) 229-2822

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": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1952653487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 E GRAND ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040440",
            "telephone_number": "417-328-6535",
            "fax_number": "417-890-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133018",
            "telephone_number": "417-328-6535",
            "fax_number": "417-890-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING AND AUDIOLOGY SEVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "GRBAC",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-328-6535",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "01895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.