Rebecca A Grady, MA.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

L000001464 Issued in WA

Practice address

457 SW 148TH St
Ste 101
Burien, WA 98166-1975

Phone

(206) 246-8677

Fax

(206) 431-2922

NPI assigned

Jul 11, 2005

Last updated

Sep 29, 2014By the provider in NPPES

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

• Rebecca A Broseke Bowlus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highline Audiology PC

  • Audiologist
  • Burien, WA
  • NPI 1891846499
  Authorized official Same address or phone
• Sound Audiology and Hearing AIDS, LLC

  • Audiologist
  • Richland, WA
  • NPI 1073061487
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1578561817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 SW 148TH ST",
            "address_2": "STE 101",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661975",
            "telephone_number": "206-633-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 SW 148TH ST",
            "address_2": "STE 101",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661975",
            "telephone_number": "206-246-8677",
            "fax_number": "206-431-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "L000001464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BROSEKE BOWLUS",
            "middle_name": "A",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Gorbachuk, DC
• Gordon Baker MD Inc PS
• Kellee Louise Gore
• Patrick Douglas Gorrell, DC
• Daniel W Gottlieb, MD PS
• Stacie Grace Grage, LPN
• Bert Green, MD
• David C Green, M.D.
• Daniel E Greenan, DPM
• Chelsa Greene, FNP-BC

• Audiologist in Burien, WA
• Providers in Burien, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.