Individual provider Active NPI

Julia Vadakkumpadan, AU.D.

  • Audiologist
  • Raleigh, NC
National Provider Identifier
1033549332
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
11321 Issued in NC
Practice address
3010 Anderson Dr
Raleigh, NC 27609-7798
Phone
(919) 420-2029
Fax
(919) 420-2028
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 11321 NC Primary

Addresses

Primary practice location

3010 Anderson Dr
Raleigh, NC 27609-7798

Mailing address

3010 Anderson Dr
Raleigh, NC 27609-7798
Phone (919) 420-2029

Other names 1

  • Julia Callahan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10299MDMDClinical Social Worker
01299MDMDFoot & Ankle Surgery Podiatrist
11321NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Ear, Nose & Throat Audiologist Past Accepting new patients

Organizations & group practices 1

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1033549332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 ANDERSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097798",
            "telephone_number": "919-420-2029",
            "fax_number": "919-420-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 ANDERSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097798",
            "telephone_number": "919-420-2029",
            "fax_number": "919-420-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAKKUMPADAN",
        "first_name": "JULIA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "11321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "CALLAHAN",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.