Rebecca Ann Mooney, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD00001056 Issued in WA

Practice address

2401 Bristol CT. SW
Ste B-104
Olympia, WA 98502

Phone

(360) 754-0305

Fax

(360) 596-9304

NPI assigned

Feb 6, 2007

Last updated

May 11, 2022By 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 2

Addresses

Other identifiers 1

Other names 1

• Rebecca Ann Hendon Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sound Audioloyg LLCGroup PAC ID 2668579608, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• South Sound Audioloyg LLC

  • Audiologist
  • Lacey, WA
  • NPI 1699874347
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1306985221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "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": "2401 BRISTOL CT. SW",
            "address_2": "STE B-104",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-0305",
            "fax_number": "360-596-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10564 5th Ave NE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981257200",
            "country_code": "US",
            "telephone_number": "206-367-1345",
            "fax_number": "206-367-1366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Columbia St NW Ste 108",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985014447",
            "country_code": "US",
            "telephone_number": "360-745-0305",
            "fax_number": "360-596-9304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00001056",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8393555",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HENDON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miqueila Montgomery, F-PMHNP
• Yolanda Montiel
• Liliana Montoya, LMT
• Nicholas Jacob Montoya, PT, DPT
• Christine Louise Moody, LMP
• Shayna Nitin Mooney, MD
• Moore Chiropractic, PLLC
• Moore Chiropractic, PLLC
• Moore Chiropractic, PLLC
• Moore Chiropractic, PLLC

• Audiologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.