Active NPI
Alysse M. Moury, AUD
- Audiologist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60213818
- Practice address
- 1231 116TH Ave NE Ste 915
Bellevue, WA 98004-3822 - Phone
- (425) 454-3938
- Fax
- (425) 454-2568
- NPI assigned
- Oct 4, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | LD60213818 | WA | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | LD60213818 | WA | |
| Audiologist | 231H00000X | LD60213818 | WA | Primary |
Addresses
Primary practice location
1231 116TH Ave NE Ste 915
Bellevue, WA 98004-3822
Mailing address
805 Madison St Ste 901
Seattle, WA 98104-1172
Phone (206) 264-8100
Other practice location 1
510 8th Ave NE Ste 310
Issaquah, WA 98029-5436
Phone (425) 454-3938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033470 | Medicaid | WA |
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1231 116TH Ave NE
Suite 915
Bellevue, WA 98004-3822
Phone (425) 454-3938
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients |
Locations
1231 116th Ave NE
Ste 915
Bellevue, WA 98004
Phone (425) 454-3938
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
111 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-2178
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- alysse.moury.p79@direct.proliance.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Multi-Specialty Clinic/Center
- Mount Vernon, WA
- NPI 1023051489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1851675284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST STE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 116TH AVE NE STE 915",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043822",
"telephone_number": "425-454-3938",
"fax_number": "425-454-2568"
}
],
"practiceLocations": [
{
"address_1": "510 8th Ave NE Ste 310",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980295436",
"country_code": "US",
"telephone_number": "425-454-3938",
"fax_number": "425-392-3561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOURY",
"first_name": "ALYSSE",
"middle_name": "M.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD60213818",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "WA",
"license": "LD60213818",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60213818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033470",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.