Stacia Hall

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

80928 Issued in TX

Practice address

103 Canal Landing Blvd Ste 3
Rochester, NY 14626-5108

Phone

(585) 723-3440

NPI assigned

Dec 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stacia Pettus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clear Choice Hearing Solutions, Inc

  • Early Intervention Provider Agency
  • Rochester, NY
  • NPI 1497985253

  Hearing Instrument Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1992211312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR STE 406",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281370",
            "telephone_number": "512-864-0352",
            "fax_number": "512-864-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANAL LANDING BLVD STE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265108",
            "telephone_number": "585-723-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "STACIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000052000",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIA",
            "last_name": "PETTUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nora Marie Hall
• Rachael Hall
• Renee Hall, SLP
• Scott Matthew Hall
• Shatieka Hall, LPN
• Tammy Y Hall
• Tonisha Hall, LPN
• William John Hall, MD
• Zharia A Hall
• David J Haller, LCSW.

• Hearing Instrument Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Hearing Instrument Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.