Innovative Hearing Solutions of Indiana, Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

INNOVATIVE HEARING SOLUTIONS OF INDIANA, INC

Doing business as

Hearing Solutions of Indiana

Practice address

750 Park East Blvd Ste 3
Lafayette, IN 47905-0788

Phone

(765) 771-7109

Fax

(765) 770-8668

NPI assigned

Oct 31, 2018

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Molly Elizabeth Herendeen

Title

Administrative Manager

Phone

(765) 771-7109

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hearing Solutions of Indiana Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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.

• Judith Marquess Olson, AU.D., CCC-A

  • Audiologist
  • Lafayette, IN
  • NPI 1265574404
  Medicare reassignment NPD
• Nicole M Nadeau, AUD, CCC-A

  • Audiologist
  • Concord, NH
  • NPI 1427788959
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1992272553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W NAVAJO ST STE A",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061940",
            "telephone_number": "765-771-7109",
            "fax_number": "765-770-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PARK EAST BLVD STE 3",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050788",
            "telephone_number": "765-771-7109",
            "fax_number": "765-770-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 W Navajo St Ste A",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479061940",
            "country_code": "US",
            "telephone_number": "765-771-7109",
            "fax_number": "765-770-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE HEARING SOLUTIONS OF INDIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "HERENDEEN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "765-771-7109",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200984380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Solutions of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist in Lafayette, IN
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• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.