Individual provider Active NPI

Hannah Julia Carlson, AU.D.

  • Audiologist
  • Mount Vernon, WA
National Provider Identifier
1699366336
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61148432 Issued in WA
Practice address
118 S 12TH St
Mount Vernon, WA 98274-4036
Phone
(360) 336-2178
Fax
(360) 336-1995
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 LD61148432 WA
Audiologist 231H00000X LD61148432 WA Primary

Addresses

Primary practice location

118 S 12TH St
Mount Vernon, WA 98274-4036

Mailing address

2804 104TH PL SE
Everett, WA 98208-4454
Phone (425) 316-3665

Other practice location 1

1019 24th St Ste B
Anacortes, WA 98221-2586
Phone (360) 588-8985

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hcarlson33305@skagit.direct-ci.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210324001622 WA Practitioner - Qualified Audiologist 0648687301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

1019 24TH St
Suite B
Anacortes, WA 98221-2586
Phone (360) 588-8985

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD61148432WAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Mar 1, 2021 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients

Locations

1019 24th St
#B
Anacortes, WA 98221
Phone (360) 293-8438

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

118 S 12th St
Mount Vernon, WA 98274
Phone (360) 336-2178

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1699366336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 104TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084454",
            "telephone_number": "425-316-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S 12TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744036",
            "telephone_number": "360-336-2178",
            "fax_number": "360-336-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 24th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212586",
            "country_code": "US",
            "telephone_number": "360-588-8985",
            "fax_number": "360-299-8147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "HANNAH",
        "middle_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD61148432",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61148432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hcarlson33305@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1019 24th St Ste B",
            "city": "Anacortes",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982212586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.