Individual provider Active NPI

Christopher Lawson

  • Audiologist
  • Vancouver, WA
National Provider Identifier
1265855811
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0584 Issued in KY
Practice address
16209 SE McGillivray Blvd Ste M
Vancouver, WA 98683-9034
Phone
(360) 892-3445
Fax
(360) 213-2044
NPI assigned
Jan 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0584 KY Primary

Addresses

Primary practice location

16209 SE McGillivray Blvd Ste M
Vancouver, WA 98683-9034

Mailing address

16209 SE McGillivray Blvd Ste M
Vancouver, WA 98683-9034
Phone (360) 892-3445

Other names 1

  • Dr. Christopher Waldroup Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180405000300 WA Practitioner - Qualified Audiologist 3870871403 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0584KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Audiology Gaming Current Accepting new patients
Gold Star Audiology Clinic Current Accepting new patients

Locations

16209 SE McGillivray Blvd
Ste M
Vancouver, WA 98683
Phone (360) 506-2237

Organizations & group practices 3

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1265855811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16209 SE MCGILLIVRAY BLVD STE M",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839034",
            "telephone_number": "360-892-3445",
            "fax_number": "360-213-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16209 SE MCGILLIVRAY BLVD STE M",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839034",
            "telephone_number": "360-892-3445",
            "fax_number": "360-213-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "WALDROUP",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.