MR. REX VONGPHOUTHONE (NPI# 1114458510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114458510 |
| Entity Type | Individual |
| Full Name | MR. REX VONGPHOUTHONE |
| Credential | HIS |
| Practice Address |
1311 S Union Ave Ste 102 Tacoma WA 98405-1959 |
| Practice Telephone | 2537593555 |
| Practice Fax Number | 2537592988 |
| Mailing Telephone | 2537593555 |
| Mailing Fax Number | 2537592988 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA60655146 | WA | Speech, Language and Hearing Service Providers |
| Street Address |
1311 S UNION AVE STE 102 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013108687 | Suzanne Evans | Audiologist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2007-08-07 |
| 1760831747 | Haley J Macy | Audiologist-Hearing Aid Fitter | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2016-06-09 |
| 1881062388 | Molly Axworthy | Hearing Instrument Specialist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2015-09-14 |
| 1821464009 | Holly Bridges | Audiologist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2015-08-11 |
| 1063827467 | Elizabeth Van Hollebeke | Audiologist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2014-06-24 |
| 1093129983 | Troy C Flynn | Hearing Instrument Specialist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2014-06-18 |
| 1053740217 | Golda Gold | Hearing Instrument Specialist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2013-11-07 |
| 1225467533 | Caren Caitlin Farrell | Audiologist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2013-11-06 |
| 1346681186 | Emily Michelle Ellis | Audiologist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2013-07-09 |
| 1831439314 | Tracee Murphy Lontoc | Hearing Instrument Specialist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2013-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042760 | Ronda Carlson | Hearing Instrument Specialist | 1901 S 72nd St # A14, Tacoma, WA 98408-1200 | 2020-01-22 |
| 1376028688 | Ciara Musgrove | Hearing Instrument Specialist | 1201 S Union Ave Ste 2, Tacoma, WA 98405-1916 | 2018-10-02 |
| 1265972483 | Amanda Kimberley Swanson | Hearing Instrument Specialist | 4916 Center St Ste D, Tacoma, WA 98409-2348 | 2017-03-07 |
| 1619248101 | Barbara J Lacrosse-young | Hearing Instrument Specialist | 6002 Westgate Blvd Ste 278, Tacoma, WA 98406-2571 | 2012-01-16 |
| 1467765636 | Lee Li Chong-mcbride | Hearing Instrument Specialist | 1311 S Union Ave # 102, Tacoma, WA 98405-1959 | 2010-07-16 |
| 1821575382 | Lauren Swanson | Hearing Instrument Specialist | 1311 S Union Ave # 102, Tacoma, WA 98405-1959 | 2018-07-26 |
| 1881062388 | Molly Axworthy | Hearing Instrument Specialist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2015-09-14 |
| 1992109912 | Anne Renee Riley | Hearing Instrument Specialist | 3702 S Fife St, Ste B107, Tacoma, WA 98409-7360 | 2014-10-20 |
| 1093129983 | Troy C Flynn | Hearing Instrument Specialist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2014-06-18 |
| 1053740217 | Golda Gold | Hearing Instrument Specialist | 1311 S Union Ave, Ste 102, Tacoma, WA 98405-1959 | 2013-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.