Individual provider Active NPI

Julie L Stachura, AUD

  • Audiologist
  • East Aurora, NY
National Provider Identifier
1366720351
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002355 Issued in NY
Practice address
97 Hamburg St
East Aurora, NY 14052-2139
Phone
(716) 652-6464
Fax
(716) 652-6499
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 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 002355 NY Primary

Addresses

Primary practice location

97 Hamburg St
East Aurora, NY 14052-2139

Mailing address

97 Hamburg St
East Aurora, NY 14052-2139
Phone (716) 652-6464

Other names 1

  • Julie L Wynkoop Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111024000279 NY Practitioner - Qualified Audiologist 0446423289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Audiology and Speech Associates, Inc.Group PAC ID 8022180165, 2 clinicians

Practice addresses (Care Compare)

97 Hamburg St
East Aurora, NY 14052-2139
Phone (716) 652-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Audiology & Speech Associates, Inc. Audiologist CurrentSince Mar 1, 2022 Accepting new patients
Audigycare, LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

97 Hamburg St
East Aurora, NY 14052
Phone (716) 652-6464

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1366720351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 HAMBURG ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522139",
            "telephone_number": "716-652-6464",
            "fax_number": "716-652-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HAMBURG ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522139",
            "telephone_number": "716-652-6464",
            "fax_number": "716-652-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHURA",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WYNKOOP",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.