Individual provider Active NPI

Melanie Ann Duldulao Vazquez, AUD

  • Audiologist
  • Bellevue, WA
National Provider Identifier
1487686960
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00004153 Issued in WA
Practice address
11511 NE 10TH St
E205
Bellevue, WA 98004-8578
Phone
(425) 502-3505
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00004153 WA Primary

Addresses

Primary practice location

11511 NE 10TH St
E205
Bellevue, WA 98004-8578

Mailing address

11511 NE 10TH St
E205
Bellevue, WA 98004-8578
Phone (425) 502-3505

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mvazquez1043505@wm.providencedirect.org
Direct Messaging Address mvazquez1043505@wm.providencedirect.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060830000268 WA Practitioner - Qualified Audiologist 4981608163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

600 Broadway
Suite 200
Seattle, WA 98122-5373
Phone (206) 215-1770

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

751 NE Blakely Dr
Issaquah, WA 98029-6201

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Swedish Health Services CurrentSince Sep 1, 2014 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 7, 2009 Accepting new patients
Swedish Health Services CurrentSince Sep 1, 2014 Accepting new patients
Evergreen Speech Clinic, Inc Past Accepting new patients
Evergreen Hearing Clinic Inc Audiologist PastSince Mar 11, 1997 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

751 NE Blakely Dr
Ste 5010
Issaquah, WA 98029
Phone (425) 394-0700

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

550 17th Ave
Ste 500
Seattle, WA 98122
Phone (206) 320-2451

600 Broadway
Ste 230
Seattle, WA 98122
Phone (206) 215-1770

800 5th Ave
Ste 600
Seattle, WA 98104

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

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

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

Interoperability endpoints

  • Direct secure messaging: mvazquez1043505@wm.providencedirect.org

Organizations & group practices 7

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1487686960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 NE 10TH ST",
            "address_2": "E205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048578",
            "telephone_number": "425-502-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 NE 10TH ST",
            "address_2": "E205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048578",
            "telephone_number": "425-502-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "MELANIE",
        "middle_name": "ANN DULDULAO",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00004153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvazquez1043505@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "550 17th Ave Ste 500",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvazquez1043505@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Broadway Ste 230",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981227425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 23, 2021; 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.