Individual provider Active NPI

Lindsay Walles, AU.D.

  • Audiologist
  • Olympia, WA
National Provider Identifier
1194215426
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
365 Cooper Point Rd NW Ste 102
Olympia, WA 98502-4462
Phone
(360) 704-7900
Fax
(360) 704-7909
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X WA Primary

Addresses

Primary practice location

365 Cooper Point Rd NW Ste 102
Olympia, WA 98502-4462

Mailing address

365 Cooper Point Rd NW Ste 102
Olympia, WA 98502-4462
Phone (360) 704-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321002084 ID Practitioner - Qualified Audiologist 9931452778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Idaho Ear Nose and ThroatGroup PAC ID 0042402034, 16 clinicians

Practice addresses (Care Compare)

900 N Liberty St
Suite 400
Boise, ID 83704-8707
Phone (208) 336-4368

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
63.68
Improvement activities
40
Cost
68.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Idaho Ear, Nose and Throat CurrentSince Dec 1, 2018 Accepting new patients
Swient, LLC Past Accepting new patients

Locations

900 N Liberty St
Boise, ID 83704
Phone (208) 367-2229

900 N Liberty St
Ste 400
Boise, ID 83704
Phone (208) 336-4368

900 N Liberty St
Ste 305
Boise, ID 83704
Phone (208) 336-4368

3080 E Gentry Way
Ste 100
Meridian, ID 83642
Phone (208) 810-2318

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEAGCD

Organizations & group practices 2

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1194215426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COOPER POINT RD NW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024462",
            "telephone_number": "360-704-7900",
            "fax_number": "360-704-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COOPER POINT RD NW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024462",
            "telephone_number": "360-704-7900",
            "fax_number": "360-704-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLES",
        "first_name": "LINDSAY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.