South Sound Audioloyg LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD00001726 Issued in WA

Legal business name

SOUTH SOUND AUDIOLOYG LLC

Practice address

4444 Lacey Blvd SE
Lacey, WA 98503-5730

Phone

(360) 528-2022

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Julie K Vanausdal, M.S. CCC-ANPI 1003032772

Title

Managing Member

Phone

(360) 789-0097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie K Vanausdal, M.S. CCC-A

  • Audiologist
  • Lacey, WA
  • NPI 1003032772
  Medicare reassignment Care Compare group Authorized official
• Rebecca Ann Mooney, AU.D.

  • Audiologist
  • Olympia, WA
  • NPI 1306985221
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1699874347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 LACEY BLVD SE",
            "address_2": "A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035730",
            "telephone_number": "360-528-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 LACEY BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035730",
            "telephone_number": "360-528-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5065 50th Ct SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035143",
            "country_code": "US",
            "telephone_number": "360-491-8149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH SOUND AUDIOLOYG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "VANAUSDAL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-789-0097",
        "authorized_official_credential": "M.S. CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Connections Counseling & Consulting, LLC
• Sound Nutrition Dynamics
• Sound Rehabilitation and Performance
• Sound Somatic Therapy, PLLC
• South Sound Adult Family Home LLC
• Gregory South, PHARM D.
• Jaclyn June Monge Southard, LMT
• Stacey M Sowders
• Chris John Spaccarotelli
• Stephanie Michelle Sparks, DPT

• Audiologist in Lacey, WA
• Providers in Lacey, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.