Individual provider Active NPI

Laura Gaxiola, AU.D.

  • Audiologist
  • Easton, MD
National Provider Identifier
1841540895
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01256 Issued in MD
Practice address
609 Dutchmans LN
Easton, MD 21601-3348
Phone
(410) 820-9826
NPI assigned
Sep 18, 2012
Last updated
Sep 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01256 MD Primary

Addresses

Primary practice location

609 Dutchmans LN
Easton, MD 21601-3348

Mailing address

609 Dutchmans LN
Easton, MD 21601-3348

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

LicenseStateTypeSpecialty
01256MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates Inc. Audiologist CurrentSince Sep 1, 2012 Accepting new patients
Kidney Health Center of Maryland P.a. PastSince Sep 1, 2012 Accepting new patients

Locations

503 Cynwood Dr
Ste 2
Easton, MD 21601
Phone (410) 820-9823

3615 E Joppa Rd
Ste 210
Parkville, MD 21234
Phone (410) 266-6444

9613 Harford Rd
Ste B
Parkville, MD 21234
Phone (410) 668-5500

Organizations & group practices 2

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1841540895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013348",
            "telephone_number": "410-820-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAXIOLA",
        "first_name": "LAURA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.