Active NPI
Laura K Moran, AUD
- Audiologist
- Olympia, WA
National Provider Identifier
1275674582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00001060
- Practice address
- 500 Columbia St NW Ste 108
Olympia, WA 98501-4447 - Phone
- (360) 754-0305
- Fax
- (360) 596-9304
- NPI assigned
- Feb 9, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1060 | WA | |
| Audiologist-Hearing Aid Fitter | 237600000X | LD00001060 | WA | |
| Audiologist | 231H00000X | LD00001060 | WA | Primary |
Addresses
Primary practice location
500 Columbia St NW Ste 108
Olympia, WA 98501-4447
Mailing address
9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023
Phone (206) 367-1345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9845 | Other | WA | REGENCE BS |
| 7091218 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1060 | WA | MD | Audiologist |
| LD00001060 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federal Way Audiology, LLC | Audiologist | Current | Accepting new patients |
Locations
34709 9th Ave S
Ste B200
Federal Way, WA 98003
Phone (253) 248-6106
Organizations & group practices 1
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.
-
- Audiologist
- Federal Way, WA
- NPI 1124881602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1275674582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 3RD AVE NE STE 201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152023",
"telephone_number": "206-367-1345",
"fax_number": "206-367-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COLUMBIA ST NW STE 108",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985014447",
"telephone_number": "360-754-0305",
"fax_number": "360-596-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "LAURA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "1060",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD00001060",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00001060",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "DA9845",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7091218",
"state": "WA"
}
],
"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 25, 2023; 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.