Individual provider Active NPI

Alyssa Lorraine Diersing, AU.D.

  • Audiologist
  • Bellevue, WA
National Provider Identifier
1427350685
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61275344 Issued in WA
Practice address
1940 116TH Ave NE Ste 103
Bellevue, WA 98004-3011
Phone
(800) 500-8243
NPI assigned
Nov 21, 2010
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD61275344 WA Primary
Audiologist-Hearing Aid Fitter 237600000X AU2757 CA

Addresses

Primary practice location

1940 116TH Ave NE Ste 103
Bellevue, WA 98004-3011

Mailing address

1311 S Union Ave # 102
Tacoma, WA 98405-1959
Phone (800) 500-8243

Other names 1

  • Alyssa Lorraine Uher Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2757CAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1427350685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S UNION AVE # 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051959",
            "telephone_number": "800-500-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043011",
            "telephone_number": "800-500-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERSING",
        "first_name": "ALYSSA",
        "middle_name": "LORRAINE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-21",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61275344",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "UHER",
            "middle_name": "LORRAINE",
            "credential": "AU.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.