Individual provider Active NPI

Madeline Nicole Henry, AU.D., CCC-A

  • Audiologist
  • Silverdale, WA
National Provider Identifier
1306578729
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
61321048 Issued in WA
Practice address
9576 Ridgetop Blvd NW Ste 103
Silverdale, WA 98383-8554
Phone
(360) 551-4800
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 61321048 WA Primary

Addresses

Primary practice location

9576 Ridgetop Blvd NW Ste 103
Silverdale, WA 98383-8554

Mailing address

9576 Ridgetop Blvd NW Ste 103
Silverdale, WA 98383-8554
Phone (360) 551-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224001716 WA Practitioner - Qualified Audiologist 7517330384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hear Northwest PLLCGroup PAC ID 8820352578, 8 clinicians
Link Audiology LLCGroup PAC ID 9830490168, 4 clinicians

Practice addresses (Care Compare)

49 Front St N
Issaquah, WA 98027-3237
Phone (425) 391-3343

9576 Ridgetop Blvd NW
Suite 103
Silverdale, WA 98383-8554
Phone (360) 551-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61321048WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Audiology, LLC Audiologist CurrentSince Nov 3, 2022 Accepting new patients

Locations

9576 Ridgetop Blvd NW
Ste 103
Silverdale, WA 98383
Phone (360) 551-4800

3560 Bridgeport Way W
Ste 3D
University Place, WA 98466
Phone (360) 551-4800

Organizations & group practices 2

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1306578729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW STE 103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "360-551-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW STE 103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "360-551-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MADELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "61321048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.