Susan M. Taulia, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002417A Issued in IN

Practice address

823 Park East Blvd # H
Lafayette, IN 47905-0787

Phone

(765) 448-6226

Fax

(765) 448-9416

NPI assigned

Nov 28, 2007

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

Other names 1

• Dr. Susan Moore Lopez Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MTC of Indiana LTDGroup PAC ID 9537297973, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• MTC of Indiana, LTD.

  • Audiologist
  • Lafayette, IN
  • NPI 1417279472
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1447432802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 PARK EAST BLVD # H",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050787",
            "telephone_number": "765-448-6226",
            "fax_number": "765-448-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 PARK EAST BLVD # H",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050787",
            "telephone_number": "765-448-6226",
            "fax_number": "765-448-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAULIA",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LOPEZ",
            "middle_name": "MOORE",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alvin Heng Tao, MD
• Dianne Lynn Tao, WHNP
• Jocelyn Tao, PHARM D
• Karrie A Tarter, NP
• Marcella Montante Tashjian-Gibbs, M,D,
• Aireya Taylor
• Brent Taylor
• Loretta K Taylor, O.D.
• Kayla Terhune
• Mary Terry, RN

• Audiologist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.