Alison L Liudahl, AU.D.,C.C.C.-A,F.A.A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001374 Issued in VA

Practice address

2070 Old Bridge Rd
Suite 103
Lake Ridge, VA 22192-2495

Phone

(703) 499-8787

Fax

(703) 499-8222

NPI assigned

Sep 29, 2008

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 MN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakdale Ear, Nose and Throat Clinic, P.a.Group PAC ID 9133209802, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Oakdale Ear, Nose & Throat Clinic, P.a.

  • Otolaryngology Physician
  • Golden Valley, MN
  • NPI 1598976326
  Medicare reassignment Care Compare group NPD
• Minneapolis Radiology Associates, LTD.

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1871594341
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1326298142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7657",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221957657",
            "telephone_number": "703-499-8787",
            "fax_number": "703-499-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 OLD BRIDGE RD",
            "address_2": "SUITE 103",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922495",
            "telephone_number": "703-499-8787",
            "fax_number": "703-499-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIUDAHL",
        "first_name": "ALISON",
        "middle_name": "L",
        "credential": "AU.D.,C.C.C.-A,F.A.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilissa Johnson
• Jennifer Johnson
• Rachita Kenny, CNS
• Riken Kumar, MD
• Lawrence R. Muller, DDS, PC
• Logan Denise Luke, OTR/L
• Fetnat Faye Masri-Imadi, MD
• Masterpeace Chiropractic Center, P.C.
• May & Hettler, O.D., PLLC
• Lisa Hoang Moser, PT

• Audiologist in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.