Active NPI
Laurel K Walker, AU.D.
- Audiologist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00001054
- Practice address
- 3216 Norton Ave
Suite 102
Everett, WA 98201-4290 - Phone
- (425) 297-5350
- Fax
- (425) 297-5355
- NPI assigned
- Jun 8, 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 | LD00001054 | WA | Primary |
Addresses
Primary practice location
3216 Norton Ave
Suite 102
Everett, WA 98201-4290
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212420 | Other | WA | LABOR AND INDUSTRY |
| P00298188 | Other | WA | RAILROAD MEDICARE |
| LD00001054 | Other | WA | STATE LICENSE NUMBER |
| 8457012 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwalker198780@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD00001054 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
3216 Norton Ave
Ste 102
Everett, WA 98201
Phone (425) 252-0895
1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076
12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
1330 Rockefeller Ave
Ste 310
Everett, WA 98201
Phone (425) 261-4925
916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1801837406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NORTON AVE",
"address_2": "SUITE 102",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014290",
"telephone_number": "425-297-5350",
"fax_number": "425-297-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "LAUREL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00001054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0212420",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00298188",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "LD00001054",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8457012",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwalker198780@wm.providencedirect.org",
"affiliation": "N",
"address_1": "1330 Rockefeller Ave Ste 310",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982011677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.