Carol Anne Trussell, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU1091 Issued in CA

Practice address

805 Twelve Bridges Dr Ste 25
Lincoln, CA 95648-8811

Phone

(916) 434-1110

NPI assigned

Feb 21, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Iron Audiology, Inc.

  • Audiologist
  • Corte Madera, CA
  • NPI 1841268828
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1508991712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 DOUGLAS BLVD STE 992",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613639",
            "telephone_number": "916-784-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TWELVE BRIDGES DR STE 25",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488811",
            "telephone_number": "916-434-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSSELL",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7373 West Ln",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952103377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Perera Group LLC
• Tamara Theodore, M.A., O.T.R./L
• Randall V. Thomsen, MD
• TLC Medical Transportation
• Tooth Spa Dentistry
• Twelve Bridges Pharmacy, Inc.
• Stephane Asimacopoulos Tziavaras, CCC/SLP
• Valley Rehabilitation Partners
• Aaron Van Brunt, D.C.
• Shannon Van Brunt, RN

• Audiologist in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.