Mary Lou Yocum, M.A., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

LD00003498 Issued in WA

Practice address

403 E Rose St
Walla Walla, WA 99362-1218

Phone

(509) 525-5759

Fax

(509) 525-1998

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Certified Hearing Services, PLLC

  • Audiologist-Hearing Aid Fitter
  • Walla Walla, WA
  • NPI 1043343932
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1740379361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E ROSE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621218",
            "telephone_number": "509-525-5759",
            "fax_number": "509-525-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E ROSE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621218",
            "telephone_number": "509-525-5759",
            "fax_number": "509-525-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "MARY LOU",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00003498",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00003498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7055809",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8390478",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269988",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9092008",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yakima Valley Farm Workers Clinic (Family Medical Center)
• Yakima Valley Farm Workers Clinic (Family Medical Center)
• Yakima Valley Farm Workers Clinic (MSS Program Walla Walla)
• Kathleen Yancey
• Fangxin Ye
• Ronny Y Yu, M.D.
• Haris Zaheer, MD
• Arlette Guadalupe Zamora-Galicia
• Brian James Zaro, RPH
• Timothy Steven Zaske, PHARMD

• Audiologist-Hearing Aid Fitter in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Audiologist-Hearing Aid Fitter in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.