Ballard Speech & Hearing Ctr. P.S.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

LD00000978 Issued in WA

Legal business name

BALLARD SPEECH & HEARING CTR. P.S.

Practice address

5428 Barnes Ave NW
Seattle, WA 98107-3839

Phone

(206) 789-7029

Fax

(206) 789-5485

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Virgil Fulmer II, AUD

Title

Audiologist

Phone

(206) 789-7029

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1669637633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 BARNES AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-789-7029",
            "fax_number": "206-789-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 BARNES AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-789-7029",
            "fax_number": "206-789-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD SPEECH & HEARING CTR. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "206-789-7029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "LD00000978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1427137447",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ballard Optometry, PLLC
• Ballard Pediatric Clinic Inc PS
• Ballard Plaza Pharmacy I Inc
• Ballard Psychiatric Associates, PLLC
• Ballard Recovery Services
• Ballard Vision Works PLLC
• Ballard Wellness Clinic
• Ballard Women'S Health
• Erin Elizabeth Ballard, ARNP
• Ledjie R. Ballard, CRNA

• Clinical Medical Laboratory in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.