Departmentn of Veterans Affairs Medical Center

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5877740-4101 Issued in UT

Legal business name

DEPARTMENTN OF VETERANS AFFAIRS MEDICAL CENTER

Practice address

500 Foothill Blvd
Salt Lake City, UT 84148-0001

Phone

(801) 584-1242

NPI assigned

Jul 8, 2006

Last updated

Jun 23, 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

Ms. Linda Louise Edlefsen, M.S.NPI 1396778791

Title

Audiologist

Phone

(801) 584-1242

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Edlefsen, M.S.

  • Audiologist
  • Salt Lake City, UT
  • NPI 1396778791
  NPD (past) Authorized official

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1184657629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 LAIRD AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051935",
            "telephone_number": "801-583-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-584-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENTN OF VETERANS AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "EDLEFSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "801-584-1242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "5877740-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Neurology School of Medicine University of Utah
• Department of Ophthalmology
• Department of Ophthalmology - Pediatric Division
• Department of Pediatrics University of Utah
• Department of Veterans Affairs (Employee Educatin System)
• Alessandra Deplano
• Depot Drug
• Ray J Deprizio
• Dept of Ophthalmology
• Laura Deras

• 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 Jun 23, 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.