Andrew Hedley, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA2172 Issued in ID

Practice address

4877 W Philomena St
Meridian, ID 83646-4657

Phone

(208) 697-0655

NPI assigned

Aug 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1992250393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 W PHILOMENA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464657",
            "telephone_number": "208-697-0655",
            "fax_number": "732-568-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4877 W PHILOMENA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464657",
            "telephone_number": "208-697-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Whitley Dr",
            "address_2": "Suite 13",
            "address_purpose": "LOCATION",
            "city": "Fruitland",
            "state": "ID",
            "postal_code": "836192261",
            "country_code": "US",
            "telephone_number": "208-452-2592",
            "fax_number": "208-452-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDLEY",
        "first_name": "ANDREW",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Meridian, ID
• Providers in Meridian, ID by specialty
• Hearing Instrument Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.