Individual provider Active NPI

Diane Raszler, M.S. AU.D

  • Audiologist-Hearing Aid Fitter
  • Poulsbo, WA
National Provider Identifier
1932207495
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
LD00001207 Issued in WA
Practice address
22180 Oiympic College Way
Suite 205
Poulsbo, WA 98370-6664
Phone
(360) 697-1300
Fax
(360) 697-3238
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X LD00001207 WA Primary

Addresses

Primary practice location

22180 Oiympic College Way
Suite 205
Poulsbo, WA 98370-6664

Mailing address

22180 Olympic College Way
Suite 205
Poulsbo, WA 98370-6664
Phone (360) 697-1300

Other identifiers 2

IdentifierTypeStateIssuer
9029752MedicaidWA
7037948MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000128 WA Practitioner - Qualified Audiologist 4082608971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Advantage IncGroup PAC ID 2567456452, 2 clinicians

Practice addresses (Care Compare)

22180 Olympic College Way NW
Poulsbo, WA 98370-6664
Phone (360) 697-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD00001207WAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Advantage Inc Audiologist-Hearing Aid Fitter CurrentSince Jan 12, 2016 Accepting new patients
Olympic Radiology LLC PastSince Jan 12, 2016 Accepting new patients

Locations

22180 Olympic College Way NW
Ste 205
Poulsbo, WA 98370
Phone (360) 697-1300

22180 Olympic College Way NW
Poulsbo, WA 98370
Phone (360) 479-6555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1932207495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY",
            "address_2": "SUITE 205",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-697-1300",
            "fax_number": "360-697-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 OIYMPIC COLLEGE WAY",
            "address_2": "SUITE 205",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-697-1300",
            "fax_number": "360-697-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASZLER",
        "first_name": "DIANE",
        "credential": "M.S. AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00001207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029752",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7037948",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.

Verify at the official NPI Registry.