Active NPI
Lierra Sobolevskiy, AUD
- Audiologist
- Renton, WA
National Provider Identifier
1629323472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60653497
- Practice address
- 4033 Talbot Rd S
Ste 540
Renton, WA 98055-5772 - Phone
- (206) 575-2602
- Fax
- (206) 575-2607
- NPI assigned
- Jul 18, 2012
- 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 | LD60653497 | WA | Primary |
Addresses
Primary practice location
4033 Talbot Rd S
Ste 540
Renton, WA 98055-5772
Mailing address
PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD60653497 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Consumer Hearing Corporation | Audiologist | Current | Accepting new patients |
| Hearusa Inc | Past | Accepting new patients |
Organizations & group practices 2
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-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1629323472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34876",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241876",
"telephone_number": "425-656-5412",
"fax_number": "425-656-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S",
"address_2": "STE 540",
"city": "RENTON",
"state": "WA",
"postal_code": "980555772",
"telephone_number": "206-575-2602",
"fax_number": "206-575-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOLEVSKIY",
"first_name": "LIERRA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60653497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.