Active NPI
Julie Ann Gobler, AUD, CCC-A
- Audiologist
- West Bend, WI
National Provider Identifier
1518111491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 242-156
- Practice address
- 1305 Chestnut St
West Bend, WI 53095-3060 - Phone
- (262) 338-3553
- NPI assigned
- Nov 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 242-156 | WI | Primary |
Addresses
Primary practice location
1305 Chestnut St
West Bend, WI 53095-3060
Mailing address
1305 Chestnut St
West Bend, WI 53095-3060
Phone (262) 338-3553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41131100 | Medicaid | WI |
Other names 1
- Julie Ann Larson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242 | WI | MD | Psychologist |
| 242-156 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Hearing Care, LLC | Audiologist | Current | Accepting new patients |
| Milwaukee Ear Nose Throat Clinic Limited | Audiologist | Past | Accepting new patients |
| Milwaukee ENT Speech & Hearing Aid Service | Past | Accepting new patients |
Locations
1305 Chestnut St
West Bend, WI 53095
Phone (262) 335-4202
Organizations & group practices 3
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.
-
- Audiologist
- West Bend, WI
- NPI 1811937428
-
- Facial Plastic Surgery Physician
- Mequon, WI
- NPI 1457497091
Audiologist
-
- Hearing Aid Equipment
- Mequon, WI
- NPI 1982726659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1518111491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 CHESTNUT ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953060",
"telephone_number": "262-338-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 CHESTNUT ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953060",
"telephone_number": "262-338-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBLER",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AUD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "242-156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41131100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "LARSON",
"middle_name": "ANN",
"credential": "MA, CCC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.