Audiology Associates of Salt Lake City, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1000464101 Issued in UT

Legal business name

AUDIOLOGY ASSOCIATES OF SALT LAKE CITY, INC.

Practice address

508 E South Temple
Ste 203
Salt Lake City, UT 84102-1013

Phone

(801) 364-8692

Fax

(801) 364-0807

NPI assigned

Oct 2, 2006

Last updated

Sep 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Rex Scott, MS,CCC-A

Title

Owner

Phone

(801) 364-8692

Specialties & licenses 1

Addresses

Other identifiers 14

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1114010717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E SOUTH TEMPLE",
            "address_2": "STE 203",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021013",
            "telephone_number": "801-364-8692",
            "fax_number": "801-364-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E SOUTH TEMPLE",
            "address_2": "STE 203",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021013",
            "telephone_number": "801-364-8692",
            "fax_number": "801-364-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ASSOCIATES OF SALT LAKE CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-364-8692",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "1000464101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528504184003",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "154998",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE FLEX",
            "identifier": "4500045",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "528504184",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATOR MUTUAL",
            "identifier": "528504184",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "528504184",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505792",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MED CHOICE",
            "identifier": "528504184",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF UTAH",
            "identifier": "52850418400001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "190171900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "528504184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "528504184",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528504184",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPRA06318",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Kyle Aubrey, MD
• Melissa Aubrey
• Jenna Aubuchon, MS
• Elizabeth Diane Auckley, BA
• Audiology Associates of Salt Lake City, Inc.
• Dat Auduong, PHARMD
• Yauling Auduong
• Lora Purcell Auelua
• Margaret Moa Auelua
• Aurora Augulis

• Audiologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Audiologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.