Individual provider Active NPI

Abigail Joy Friend, AU.D

  • Audiologist
  • Renton, WA
National Provider Identifier
1649637653
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD60907581 Issued in WA
Practice address
4011 Talbot Rd S Ste 210
Renton, WA 98055-5791
Phone
(425) 690-3602
Fax
(425) 690-9602
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X
Audiologist 231H00000X LD60907581 WA Primary

Addresses

Primary practice location

4011 Talbot Rd S Ste 210
Renton, WA 98055-5791

Mailing address

4011 Talbot Rd S Ste 210
Renton, WA 98055-5791
Phone (425) 690-3602

Other practice location 1

16259 Sylvester Rd SW Ste 504
Burien, WA 98166-3059
Phone (206) 242-3696

Other identifiers 2

IdentifierTypeStateIssuer
2175969MedicaidWA
435035OtherWAWA LABOR & INDUSTRIES

Other names 1

  • Junhua Bian Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205003010 WA Practitioner - Qualified Audiologist 2163700717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

4011 Talbot Rd S
Suite 420
Renton, WA 98055-5791
Phone (425) 228-6076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2278KSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. CurrentSince Mar 1, 2021 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Mar 1, 2021 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Valley Medical Group-Renton CurrentSince Mar 1, 2024 Accepting new patients

Locations

16259 Sylvester Rd SW
Ste 504
Burien, WA 98166
Phone (206) 242-3696

16122 8th Ave SW
Ste D1
Burien, WA 98166
Phone (206) 241-7146

16259 Sylvester Rd SW
Ste 505
Burien, WA 98166
Phone (206) 242-3696

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

4011 Talbot Rd S
Ste 420
Renton, WA 98055
Phone (425) 251-1322

4011 Talbot Rd S
Ste 210
Renton, WA 98055
Phone (425) 255-4250

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: abigail.friend.p47@direct.proliance.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1649637653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 TALBOT RD S STE 210",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555791",
            "telephone_number": "425-690-3602",
            "fax_number": "425-690-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 TALBOT RD S STE 210",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555791",
            "telephone_number": "425-690-3602",
            "fax_number": "425-690-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16259 Sylvester Rd SW Ste 504",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663059",
            "country_code": "US",
            "telephone_number": "206-242-3696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "ABIGAIL",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60907581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2175969",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "435035",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNHUA",
            "last_name": "BIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.