Individual provider Active NPI

Goldie Pappan Hall, AUD

  • Audiologist
  • Anchorage, AK
National Provider Identifier
1720579030
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
134824 Issued in AK
Practice address
4200 Lake Otis Pkwy Ste 302
Anchorage, AK 99508-5226
Phone
(907) 561-1326
NPI assigned
May 22, 2018
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X 134824 AK Primary

Addresses

Primary practice location

4200 Lake Otis Pkwy Ste 302
Anchorage, AK 99508-5226

Mailing address

4200 Lake Otis Pkwy Ste 302
Anchorage, AK 99508-5226
Phone (907) 561-1326

Other identifiers 1

IdentifierTypeStateIssuer
1684899MedicaidAK

Other names 1

  • Goldie Lela Pappan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180803000611 TX Practitioner - Qualified Audiologist 2668720822 Reassigns benefits to 1 organization
I20210201000348 AK Practitioner - Qualified Audiologist 2668720822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Northern Hearing Services IncorporatedGroup PAC ID 6901996107, 4 clinicians

Practice addresses (Care Compare)

4200 Lake Otis Pkwy
Suite 302
Anchorage, AK 99508-5226
Phone (907) 561-1326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134824AKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hearing Services Incorporated Audiologist CurrentSince Nov 11, 2024 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 15, 2018 Accepting new patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

4200 Lake Otis Pkwy
Ste 302
Anchorage, AK 99508
Phone (907) 561-1326

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

935 E Westpoint Dr
Ste 101
Wasilla, AK 99654
Phone (907) 257-1326

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1720579030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-561-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-561-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GOLDIE",
        "middle_name": "PAPPAN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "134824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684899",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOLDIE",
            "last_name": "PAPPAN",
            "middle_name": "LELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.