Individual provider Active NPI

Coral M Jud, AU.D.

  • Hearing Instrument Specialist
  • Fort Dodge, IA
National Provider Identifier
1609902139
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
216 Issued in IA
Practice address
9 N 18TH St
Fort Dodge, IA 50501-4227
Phone
(515) 573-7821
Fax
(515) 573-8849
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 347 IA
Hearing Instrument Specialist 237700000X 216 IA Primary

Addresses

Primary practice location

9 N 18TH St
Fort Dodge, IA 50501-4227

Mailing address

9 N 18TH St
Fort Dodge, IA 50501-4227
Phone (515) 573-7821

Other identifiers 2

IdentifierTypeStateIssuer
0935916MedicaidIA
0085456MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
347IAMDRadiology Chiropractor
216IAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609902139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 18TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014227",
            "telephone_number": "515-573-7821",
            "fax_number": "515-573-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 18TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014227",
            "telephone_number": "515-573-7821",
            "fax_number": "515-573-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUD",
        "first_name": "CORAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "347",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0935916",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085456",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.