Active NPI
Laura Ivey Dundas, AU.D.
- Audiologist
- Petaluma, CA
National Provider Identifier
1689608663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2964
- Practice address
- 696 Petaluma Blvd N
Petaluma, CA 94952-2847 - Phone
- (707) 763-3161
- Fax
- (707) 763-9829
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT005897 | PA | |
| Audiologist | 231H00000X | 2964 | CA | Primary |
Addresses
Primary practice location
696 Petaluma Blvd N
Petaluma, CA 94952-2847
Mailing address
696 Petaluma Blvd N
Petaluma, CA 94952-2847
Phone (707) 763-3161
Other names 1
- Laura Lynn Ivey
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 |
|---|---|---|---|
| AT005897 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Coleman and Fallon Inc | Audiologist | 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.
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1689608663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 PETALUMA BLVD N",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522847",
"telephone_number": "707-763-3161",
"fax_number": "707-763-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 PETALUMA BLVD N",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522847",
"telephone_number": "707-763-3161",
"fax_number": "707-763-9829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNDAS",
"first_name": "LAURA",
"middle_name": "IVEY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT005897",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "2964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "IVEY",
"middle_name": "LYNN",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.