Active NPI
Mary Ann Wood
- Audiologist-Hearing Aid Fitter
- Mount Vernon, WA
National Provider Identifier
1255456588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- LD00002168
- Practice address
- 118 S 12TH St
Mount Vernon, WA 98274-4036 - Phone
- (360) 336-2178
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD00002168 | WA | |
| Audiologist-Hearing Aid Fitter | 237600000X | LD00002168 | WA | Primary |
Addresses
Primary practice location
118 S 12TH St
Mount Vernon, WA 98274-4036
Mailing address
111 S 13TH St
Mount Vernon, WA 98274-4105
Phone (360) 336-2178
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134030 | Other | WA | L&I NUMBER |
| LD00002168 | Other | WA | STATE LICENSE |
| 99226 | Other | WA | HEARPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD00002168 | WA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1255456588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 13TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744105",
"telephone_number": "360-336-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S 12TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744036",
"telephone_number": "360-336-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MARY ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00002168",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD00002168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I NUMBER",
"identifier": "134030",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LD00002168",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARPO",
"identifier": "99226",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.