Individual provider Active NPI

Ashley Carlotta Al-Izzi, AUD

  • Audiologist
  • Kirkland, WA
National Provider Identifier
1396780995
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00004507 Issued in WA
Practice address
12911 120TH Ave NE Ste E40
Kirkland, WA 98034-3045
Phone
(425) 821-6600
NPI assigned
Jun 18, 2006
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00004507 WA Primary
Audiologist-Hearing Aid Fitter 237600000X LD00004507 WA

Addresses

Primary practice location

12911 120TH Ave NE Ste E40
Kirkland, WA 98034-3045

Mailing address

12911 120TH Ave NE Ste E40
Kirkland, WA 98034-3045
Phone (425) 821-6600

Other names 1

  • Ashley Carlotta Wilcox Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000462 WA Practitioner - Qualified Audiologist 6305014838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12911 120TH Ave NE
Suite E40
Kirkland, WA 98034-3045
Phone (425) 821-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD00004507WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Northwest PLLC Audiologist CurrentSince Oct 1, 2019 Accepting new patients
Seattle Audiology Services PLLC Audiologist CurrentSince Oct 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 18, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 18, 2022 Accepting new patients
Hearing Specialty Center LLC PastSince Dec 16, 2024 Accepting new patients

Locations

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

12911 120th Ave NE
Ste E40
Kirkland, WA 98034
Phone (425) 821-6600

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9730 3rd Ave NE
Ste 201
Seattle, WA 98115
Phone (206) 367-1345

5821 S Sprague Ct
Tacoma, WA 98409
Phone (253) 396-4200

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1396780995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE E40",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343045",
            "telephone_number": "425-821-6600",
            "fax_number": "425-821-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE E40",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343045",
            "telephone_number": "425-821-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-IZZI",
        "first_name": "ASHLEY",
        "middle_name": "CARLOTTA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00004507",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00004507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WILCOX",
            "middle_name": "CARLOTTA",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.