Julie Ann St. Vrain, M.A. CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

003379 Issued in GA

Practice address

10800 Alpharetta Hwy
#122
Roswell, GA 30076-1490

Phone

(770) 992-5353

Fax

(770) 998-4974

NPI assigned

Mar 1, 2012

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Distribution, LLC

  dba HearUSA

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998

  GA

  Medicare reassignment NPD
• Connect Hearing, Inc.

  • Hearing Aid Equipment
  • Roswell, GA
  • NPI 1487905782

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1265706782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 ALPHARETTA HWY",
            "address_2": "#122",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761490",
            "telephone_number": "770-992-5353",
            "fax_number": "770-998-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. VRAIN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "003379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spin Family Partners
• Spine and Orthopedic Specialists of Atlanta PC
• Ashleigh Marie Sprouse, OD
• Sprout to Bloom Wellness Incorporated (Sprout to Bloom Wellness)
• William St. Amant
• Stacey C. Heit, M.D., P.C.
• Sharita Stallings, RBT
• Crystal M Stallworth
• Linda J. Stamm, PSY.D
• Star Optometry Ga LLC (InFocus Eyecare)

• Audiologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.