Organization Active NPI

Link Audiology, LLC

  • Audiologist
  • Silverdale, WA
National Provider Identifier
1003208018
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD60281561 Issued in WA
Legal business name
LINK AUDIOLOGY, LLC
Practice address
9576 Ridgetop Blvd NW
Suite 103
Silverdale, WA 98383-8554
Phone
(360) 551-4800
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Dr. Evan Charles Grolley, AU.D., CCC-ANPI 1780994848
Title
Member
Phone
(360) 551-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X LD60281561 WA Primary

Addresses

Primary practice location

9576 Ridgetop Blvd NW
Suite 103
Silverdale, WA 98383-8554

Mailing address

9576 Ridgetop Blvd NW
Suite 103
Silverdale, WA 98383-8554
Phone (360) 551-4800

Other practice location 1

3560 Bridgeport Way W Ste 3D
University Place, WA 98466-4446
Phone (360) 551-4800

Other practice location 2

17147 Vashon Hwy SW Ste 101
Vashon, WA 98070-4603
Phone (360) 551-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151210001735 WA Part B Supplier - Clinic/Group Practice 9830490168 Receives reassigned benefits from 4 practitioners
Practice locations: Silverdale, WA; University Place, WA; Vashon, WA

National Provider Directory

National Provider Directory

Locations

9576 Ridgetop Blvd NW
Ste 103
Silverdale, WA 98383
Phone (360) 551-4800

3560 Bridgeport Way W
Ste 3D
University Place, WA 98466
Phone (360) 551-4800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1003208018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW",
            "address_2": "SUITE 103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "360-551-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW",
            "address_2": "SUITE 103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "360-551-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 Bridgeport Way W Ste 3D",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664446",
            "country_code": "US",
            "telephone_number": "360-551-4800",
            "fax_number": "360-551-4801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17147 Vashon Hwy SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vashon",
            "state": "WA",
            "postal_code": "980704603",
            "country_code": "US",
            "telephone_number": "360-551-4800",
            "fax_number": "360-551-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINK AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GROLLEY",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-551-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60281561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.