Northwest Vestibular Services, PLLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

CD00001153 Issued in WA

Legal business name

NORTHWEST VESTIBULAR SERVICES, PLLC

Practice address

418 1St Ave W
Seattle, WA 98119-4018

Phone

(206) 325-0645

Fax

(206) 283-9815

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Carol Killingsworth, AUD

Title

Owner

Phone

(206) 325-0645

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1174657464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 1ST AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194018",
            "telephone_number": "206-325-0645",
            "fax_number": "206-283-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 1ST AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194018",
            "telephone_number": "206-325-0645",
            "fax_number": "206-283-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VESTIBULAR SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "KILLINGSWORTH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-325-0645",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "WA",
            "license": "CD00001153",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "WA",
            "license": "CD00001153",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "WA",
            "license": "CD00001153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0209957",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.