Theresa Bartoldus, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

144 Issued in AK

Practice address

3801 University Lake Dr
Southcentral Foundation Audiology Department
Anchorage, AK 99508-4658

Phone

(907) 729-1400

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AK2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theresa.bartoldus.1@15989.direct.athenahealth.com
• Direct secure messaging: tbartoldus@direct.scf.cc

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Ear Nose & Throat Clinic Inc.

  • Otolaryngology Physician
  • Fairbanks, AK
  • NPI 1023179587
  Medicare reassignment NPD
• Maniilaq Association

  • Rural Acute Care Hospital
  • Kotzebue, AK
  • NPI 1861698805

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment NPD
• Maniilaq Association

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD
• Southcentral Foundation

  • Chiropractor
  • Wasilla, AK
  • NPI 1750889234
  NPD
• Tanana Chiefs Conference

  • Ambulatory Surgical Clinic/Center
  • Fairbanks, AK
  • NPI 1871332387
  NPD

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1871991661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR",
            "address_2": "AUDIOLOGY DEPARTMENT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084658",
            "telephone_number": "907-729-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR",
            "address_2": "SOUTHCENTRAL FOUNDATION AUDIOLOGY DEPARTMENT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084658",
            "telephone_number": "907-729-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLDUS",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Ann Bartlett, LMT
• Trudy M Bartlett
• Jo Ann Bartley, PHD
• Jeffrey G Bartline, CRNA
• Michaela Marie Bartlow, RN
• Amanda Barton, MD
• Samantha Barton
• James Bartow
• Marianthi Basdaras
• Richard Basford

• Audiologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Audiologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.