NPIMap

Individual provider Active NPI

Edward J Steed, M.A, CCC-A

  • Audiologist
  • Puyallup, WA
National Provider Identifier
1649257049
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00003919 Issued in WA
Practice address
311 River Rd
Ste. 103
Puyallup, WA 98371-4113
Phone
(253) 845-3191
Fax
(253) 845-3271
NPI assigned
Dec 27, 2005
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00003919 WA Primary

Addresses

Primary practice location

311 River Rd
Ste. 103
Puyallup, WA 98371-4113

Mailing address

PO Box 350
Maple Valley, WA 98038-0350
Phone (425) 358-0956

Other identifiers 1

IdentifierTypeStateIssuer
1086766MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050509000983 WA Practitioner - Qualified Audiologist 5597705541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
51269TXMDPharmacist
LD00003919WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Apr 9, 2020 Accepting new patients
Evergreen Hearing Clinic Inc Audiologist PastSince Mar 11, 1997 Accepting new patients
Luna Healthcare LLC Audiologist Past Accepting new patients
Evergreen Speech Clinic, Inc Past Accepting new patients
Hearing Care Centers, SW Wa Inc. Past Accepting new patients

Locations

311 River Rd
Ste 103
Puyallup, WA 98371
Phone (253) 845-3190

620 N Emerson Ave
Ste 204
Wenatchee, WA 98801
Phone (509) 663-2157

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1649257049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980380350",
            "telephone_number": "425-358-0956",
            "fax_number": "877-481-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RIVER RD",
            "address_2": "STE. 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714113",
            "telephone_number": "253-845-3191",
            "fax_number": "253-845-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEED",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "M.A, CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00003919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086766",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.

Verify at the official NPI Registry.