Individual provider Active NPI

Julia A. Wood, AU.D., CCC-A

  • Audiologist
  • Issaquah, WA
National Provider Identifier
1154841575
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61095114 Issued in WA
Practice address
510 8TH Ave NE Ste 310
Issaquah, WA 98029-5436
Phone
(425) 454-3938
Fax
(425) 392-3561
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X LD61095114 WA
Assistive Technology Practitioner Audiologist 231HA2400X LD61095114 WA
Audiologist 231H00000X LD61095114 WA Primary
Hearing Instrument Specialist 237700000X LD61095114 WA

Addresses

Primary practice location

510 8TH Ave NE Ste 310
Issaquah, WA 98029-5436

Mailing address

510 8TH Ave NE Ste 310
Issaquah, WA 98029-5436
Phone (425) 454-3938

Other practice location 1

1231 116th Ave NE Ste 915
Bellevue, WA 98004-3822
Phone (425) 454-3938

Other names 1

  • Dr. Julia A. Goddeeris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170822001774 TN Practitioner - Qualified Audiologist 1456623768 Reassigns benefits to 1 organization
I20201221002703 WA Practitioner - Qualified Audiologist 1456623768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Vanderbilt University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

1231 116TH Ave NE
Suite 915
Bellevue, WA 98004-3822
Phone (425) 454-3938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1843TNMDRegistered Respiratory Therapist
LD61095114WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. CurrentSince Dec 16, 2020 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Mobile Hearing of Tennessee Audiologist CurrentSince Aug 8, 2017 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Dec 16, 2020 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

10055 Rhea County Hwy
Dayton, TN 37321
Phone (423) 847-6777

1231 116th Ave NE
Ste 915
Bellevue, WA 98004
Phone (425) 454-3938

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: julia.goddeeris.p79@direct.proliance.nextgenshare.com
  • Direct secure messaging: rachel.gray.p2@direct.360care.nextgenshare.com

Organizations & group practices 4

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1154841575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 310",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-454-3938",
            "fax_number": "425-392-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 310",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-454-3938",
            "fax_number": "425-392-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 116th Ave NE Ste 915",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043822",
            "country_code": "US",
            "telephone_number": "425-454-3938",
            "fax_number": "425-454-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JULIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD61095114",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "WA",
            "license": "LD61095114",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61095114",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "LD61095114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "GODDEERIS",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "AU.D, CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.