Individual provider Active NPI

Jamie Song, AU.D.

  • Audiologist
  • Tacoma, WA
National Provider Identifier
1356070486
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1901 S 72ND St Ste a-14
Tacoma, WA 98408-1200
Phone
(253) 753-2233
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 Primary

Addresses

Primary practice location

1901 S 72ND St Ste a-14
Tacoma, WA 98408-1200

Mailing address

6014 S 127TH LN
Seattle, WA 98178-5183
Phone (253) 218-9884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907002034 WA Practitioner - Qualified Audiologist 3870977028 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
Harbor Audiology and Hearing Services IncGroup PAC ID 5597746727, 9 clinicians

Practice addresses (Care Compare)

1901 S 72ND St
Suite A14
Tacoma, WA 98408-1200
Phone (253) 471-4394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Audiology & Hearing Services Inc Audiologist CurrentSince Mar 24, 2023 Accepting new patients
Hear-N-Now Hearing Aid Center PastSince Jun 12, 2022 Accepting new patients

Locations

1100 Wheaton Way
Ste D
Bremerton, WA 98310

34509 9th Ave S
Ste 203A
Federal Way, WA 98003
Phone (233) 661-9853

4700 Point Fosdick Dr
Ste 212
Gig Harbor, WA 98335
Phone (253) 851-3932

843 12th Ave
Ste A
Longview, WA 98632
Phone (360) 577-7702

902 E 1st St
Ste B
Port Angeles, WA 98362
Phone (360) 362-7455

538 N 5th Ave
Sequim, WA 98382
Phone (360) 681-7500

3100 NW Bucklin Hill Rd
Ste 103
Silverdale, WA 98383
Phone (360) 692-6650

1901 S 72nd St
Ste A14
Tacoma, WA 98408
Phone (253) 473-4394

718 NE 87th Ave
Ste 102
Vancouver, WA 98664

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1356070486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 S 127TH LN",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981785183",
            "telephone_number": "253-218-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 72ND ST STE A-14",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081200",
            "telephone_number": "253-753-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JAMIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.