North Coast Audiology. Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2309 Issued in CA

Legal business name

NORTH COAST AUDIOLOGY. INC.

Practice address

1930 Myrtle Ave
Eureka, CA 95501-1406

Phone

(707) 443-4503

Fax

(707) 443-7672

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Julie Lynn Kelly, AU.D.NPI 1841291549

Title

President

Phone

(707) 443-4503

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie L Kelly, AU.D.

  • Audiologist
  • Eureka, CA
  • NPI 1841291549
  Medicare reassignment NPD Authorized official
• John B Jarvis, PH.D.

  • Audiologist
  • Santa Rosa, CA
  • NPI 1275772907
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1235463498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011406",
            "telephone_number": "707-443-4503",
            "fax_number": "707-443-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011406",
            "telephone_number": "707-443-4503",
            "fax_number": "707-443-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST AUDIOLOGY. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-443-4503",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0023090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel J Noonan
• Kelly Wray Nord
• Victoria Elise Norgren
• Katy Ann Norlin, BA
• Virginia Catherine Norling, LCSW
• North Coast Emergency Physicians
• North Coast Family Counseling, Professional Corporation
• North Coast Ministries
• North Coast Oncology & Hematology a Medical Corporation
• North Coast Substance Abuse Council

• Audiologist in Eureka, CA
• Providers in Eureka, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.