Individual provider Active NPI

Julie Yeater, AUD, CCC-A

  • Audiologist
  • Toledo, OH
National Provider Identifier
1972549996
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A1100 Issued in OH
Practice address
2222 Cherry St Ste M800
Toledo, OH 43608-2676
Phone
(419) 251-1022
Fax
(419) 251-1021
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A1100 OH Primary

Addresses

Primary practice location

2222 Cherry St Ste M800
Toledo, OH 43608-2676

Mailing address

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-7960

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-1022

Other identifiers 1

IdentifierTypeStateIssuer
0477583MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061127000123 OH Practitioner - Qualified Audiologist 5890793004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Pediatric Specialists LLCGroup PAC ID 6709279276, 21 clinicians

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-3232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1100OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC CurrentSince Aug 4, 2022 Accepting new patients

Locations

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Ste M800
Toledo, OH 43608
Phone (419) 251-1020

Interoperability endpoints

  • Direct secure messaging: jyeater1063303@direct.bsmhealth.org
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 1

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1972549996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-7960",
            "fax_number": "419-251-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE M800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082676",
            "telephone_number": "419-251-1022",
            "fax_number": "419-251-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-1022",
            "fax_number": "419-251-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEATER",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.