Active NPI
Goldie Pappan Hall, AUD
- Audiologist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 134824
- 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, 2024
- 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 | |||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1684899 | Medicaid | AK |
Other names 1
- Goldie Lela Pappan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 134824 | AK | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Hearing Services Incorporated | Audiologist | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | 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.
-
- Audiologist
- Anchorage, AK
- NPI 1396815817
-
dba Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1386680056
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.