Tom A Putaansuu, M.ED.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD00001057 Issued in WA

Practice address

3525 Ensign Rd NE Ste M1
Olympia, WA 98506-5065

Phone

(360) 491-9733

Fax

(360) 493-1943

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Private Network Consulting

  • Psychiatric/Mental Health Nurse Practitioner
  • Chehalis, WA
  • NPI 1205527124
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1083711063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE STE M1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-491-9733",
            "fax_number": "360-493-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE STE M1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-491-9733",
            "fax_number": "360-493-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 S Market Blvd # 11",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985323043",
            "country_code": "US",
            "telephone_number": "360-491-9733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTAANSUU",
        "first_name": "TOM",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00001057",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "LD00001057",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047473",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7093891",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Lynn Pursglove, DO
• Sara E Pursley
• Luella Marie Purtell, RN
• Melissa B Purtteman, M.D.
• Haley Anne Puryear, CNIM
• Ladonna Putman, MS, LMHC, SUDP
• Tammy Lynn Hupp Putvin, MA
• Walter Theodore Putvin, ATC
• Pwyc Healthcare, PLLC
• Abdul Khaleel Qayoum, PHARMD.

• Audiologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.