Individual provider Active NPI

Julia Rossi, AUD

  • Audiologist
  • Statesville, NC
National Provider Identifier
1083149983
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12273 Issued in NC
Practice address
703 Bryant St
Statesville, NC 28677-4142
Phone
(704) 872-1670
Fax
(704) 878-6600
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12273 NC Primary

Addresses

Primary practice location

703 Bryant St
Statesville, NC 28677-4142

Mailing address

703 Bryant St
Statesville, NC 28677-4142
Phone (704) 872-1670

Other practice location 1

400 8th St
North Wilkesboro, NC 28659-4130
Phone (336) 838-9530

Other practice location 2

1727 Brevard Rd
Hendersonville, NC 28791-3259
Phone (828) 696-8272

Other practice location 3

114 Morlake Dr Ste 101A
Mooresville, NC 28117-9209
Phone (704) 664-7277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731001396 NC Practitioner - Qualified Audiologist 5799054672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Hearing and Tinnitus PCGroup PAC ID 3971872854, 4 clinicians

Practice addresses (Care Compare)

217 W Park Ave
Mooresville, NC 28115-2243
Phone (704) 872-1670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12273NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Hearing and Tinnitus, PC CurrentSince Jun 15, 2017 Accepting new patients
Hearing Services & Hearing Aid Center, Inc. Past Accepting new patients
Mark a. Kenzik, M.a., Inc Audiologist Past Accepting new patients

Locations

400 8th St
North Wilkesboro, NC 28659
Phone (336) 838-9530

703 Bryant St
Statesville, NC 28677
Phone (704) 872-1670

Organizations & group practices 3

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1083149983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BRYANT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774142",
            "telephone_number": "704-872-1670",
            "fax_number": "704-878-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BRYANT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774142",
            "telephone_number": "704-872-1670",
            "fax_number": "704-878-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 8th St",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286594130",
            "country_code": "US",
            "telephone_number": "336-838-9530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 Brevard Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287913259",
            "country_code": "US",
            "telephone_number": "828-696-8272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Morlake Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179209",
            "country_code": "US",
            "telephone_number": "704-664-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JULIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.