Individual provider Active NPI

Rachel Loretta Spelz, AU.D.

  • Audiologist
  • Olympia, WA
National Provider Identifier
1003592338
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61518145 Issued in WA
Practice address
500 Columbia St NW Ste 108
Olympia, WA 98501-4447
Phone
(360) 754-0305
Fax
(360) 596-9304
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD61518145 WA Primary
Audiologist-Hearing Aid Fitter 237600000X LD61518145 WA
Audiologist-Hearing Aid Fitter 237600000X AY2728 FL

Addresses

Primary practice location

500 Columbia St NW Ste 108
Olympia, WA 98501-4447

Mailing address

9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023
Phone (206) 367-1345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002490 WA Practitioner - Qualified Audiologist 4688010713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PNW Audiology Specialty Group PLLCGroup PAC ID 1254681802, 9 clinicians

Practice addresses (Care Compare)

9730 3Rd Ave NE
Suite 201
Seattle, WA 98115-2023
Phone (206) 367-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2728FLMDAudiologist-Hearing Aid Fitter
LD61518145WAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
PNW Audiology Specialty Group PLLC Audiologist CurrentSince Mar 4, 2024 Accepting new patients
J Lucas Koberda, MD, PHD, Neurology, LLC PastSince Jun 1, 2023 Accepting new patients

Locations

500 Columbia St NW
Ste 108
Olympia, WA 98501
Phone (360) 745-0305

9730 3rd Ave NE
Ste 201
Seattle, WA 98115
Phone (206) 367-1345

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1003592338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-367-1345",
            "fax_number": "206-367-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLUMBIA ST NW STE 108",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014447",
            "telephone_number": "360-754-0305",
            "fax_number": "360-596-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELZ",
        "first_name": "RACHEL",
        "middle_name": "LORETTA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61518145",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD61518145",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY2728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.