Active NPI
Julie M Manche, AUD
- Audiologist
- Louisville, KY
National Provider Identifier
1750361861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- KY0439
- Practice address
- 105 Daventry LN
Suite 100
Louisville, KY 40223-2879 - Phone
- (502) 276-5755
- NPI assigned
- Jan 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | KY0439 | KY | Primary |
Addresses
Primary practice location
105 Daventry LN
Suite 100
Louisville, KY 40223-2879
Mailing address
207 Westwood Dr
Louisville, KY 40243-2040
Phone (502) 276-5755
Other names 1
- Julie Mason
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY0439 | KY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical Associates, PSC | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1750361861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 WESTWOOD DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402432040",
"telephone_number": "502-276-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 DAVENTRY LN",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232879",
"telephone_number": "502-276-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHE",
"first_name": "JULIE",
"middle_name": "M",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "KY0439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MASON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.