Active NPI
Anne Bordelon Pacheco, HEARING AID SPECIALI
- Hearing Instrument Specialist
- Gresham, OR
National Provider Identifier
1992033062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-P-10129545
- Practice address
- 350 NW Eastman Pkwy
Gresham, OR 97030-7203 - Phone
- (503) 667-3832
- Fax
- (503) 465-4768
- NPI assigned
- Nov 30, 2009
- 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-Hearing Aid Fitter | 237600000X | OR | ||
| Hearing Instrument Specialist | 237700000X | HAS-P-10129545 | OR | Primary |
Addresses
Primary practice location
350 NW Eastman Pkwy
Gresham, OR 97030-7203
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAS-P-10129545 | Other | OR | OREGON HEALTH LICENSE |
Other names 1
- Anne Bordelon Merkl
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAS-P-10129545 | OR | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 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.
-
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1992033062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "612-351-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NW EASTMAN PKWY",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307203",
"telephone_number": "503-667-3832",
"fax_number": "503-465-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "ANNE",
"middle_name": "BORDELON",
"name_prefix": "Mrs.",
"credential": "HEARING AID SPECIALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-30",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-10129545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH LICENSE",
"identifier": "HAS-P-10129545",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "MERKL",
"middle_name": "BORDELON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.