Individual provider Active NPI

Julie K Vanausdal, M.S. CCC-A

  • Audiologist
  • Lacey, WA
National Provider Identifier
1003032772
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00001726 Issued in WA
Practice address
4444 Lacey Blvd SE
Suite a
Lacey, WA 98503-5730
Phone
(360) 528-2020
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00001726 WA Primary

Addresses

Primary practice location

4444 Lacey Blvd SE
Suite a
Lacey, WA 98503-5730

Mailing address

4444 Lacey Blvd SE
Suite a
Lacey, WA 98503-5730
Phone (360) 528-2020

Other names 1

  • Julie K Larsen-Vanausdal Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000534 WA Practitioner - Qualified Audiologist 8921105990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Washington School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Sound Audioloyg LLCGroup PAC ID 2668579608, 2 clinicians

Practice addresses (Care Compare)

719 Sleater Kinney Rd SE
Suite 124
Lacey, WA 98503-1138
Phone (360) 528-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD00001726WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audigycare, LLC PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1003032772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 LACEY BLVD SE",
            "address_2": "SUITE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035730",
            "telephone_number": "360-528-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 LACEY BLVD SE",
            "address_2": "SUITE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035730",
            "telephone_number": "360-528-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAUSDAL",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LARSEN-VANAUSDAL",
            "middle_name": "K",
            "credential": "M.S. CCC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.