Judith Ann Mickelson, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA4649 Issued in AZ

Practice address

13949 W Meeker Blvd
Suite C
Sun City West, AZ 85375-4436

Phone

(623) 975-1660

Fax

(623) 975-1654

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Judith Ann Waiser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Azent Hearing Centre LLC

  • Specialist
  • Sun City West, AZ
  • NPI 1225330426
  NPD

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1548446776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13949 W MEEKER BLVD",
            "address_2": "SUITE C",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754436",
            "telephone_number": "623-975-1660",
            "fax_number": "623-975-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13949 W MEEKER BLVD",
            "address_2": "SUITE C",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754436",
            "telephone_number": "623-975-1660",
            "fax_number": "623-975-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA4649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH SERVICES",
            "identifier": "DA4649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "WAISER",
            "middle_name": "ANN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luis Jose Mendez
• Raven Harley Ann Mesa, RBT
• Michael F Esber DPM PC
• Michael F. Esber DPM PC
• Michael G Simpson DDS Ms PLLC
• Mihaela T Rosetti MD PLLC
• Cole Mikos, CRNA
• Jennifer Milham, FNP
• Gary Steven Miller
• Stephanie Marie Miller, DO

• Audiologist in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.