Individual provider Active NPI

Alyson M Ruotanen, AUD

  • Audiologist
  • Indianapolis, IN
National Provider Identifier
1093374100
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002686A Issued in IN
Practice address
1550 E County Line Rd Ste 315
Indianapolis, IN 46227-0990
Phone
(317) 497-6888
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002686A IN Primary

Addresses

Primary practice location

1550 E County Line Rd Ste 315
Indianapolis, IN 46227-0990

Mailing address

9002 N Meridian St Ste 222
Indianapolis, IN 46260-5350
Phone (317) 844-7059

Other practice location 1

8040 Clearvista Pkwy Ste 350
Indianapolis, IN 46256-4673
Phone (317) 844-7059

Other identifiers 1

IdentifierTypeStateIssuer
300027189MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ARUOTANEN@OA2046.SRS-DIRECT.COM Direct Otolaryngology Associates, LLC

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

Interoperability endpoints

  • Direct secure messaging: aruotanen@oa2046.srs-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1093374100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE RD STE 315",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270990",
            "telephone_number": "317-497-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Clearvista Pkwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462564673",
            "country_code": "US",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUOTANEN",
        "first_name": "ALYSON",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002686A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027189",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ARUOTANEN@OA2046.SRS-DIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Otolaryngology Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9002 North Meridian Street",
            "address_2": "Suite 222",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462605350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.