MRS. STACEY ELIZABETH BEAUDOIN


Address: 1135 116th Ave Ne, Suite 500, Bellevue, WA 98004
Phone: 4254543938

MRS. STACEY ELIZABETH BEAUDOIN (NPI# 1861546913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861546913
Entity Type Individual
Full Name MRS. STACEY ELIZABETH BEAUDOIN
Other Name STACEY E STRUNKS
Credential AUD
Practice Address 1135 116th Ave Ne
Suite 500
Bellevue
WA 98004
Mailing Address 1135 116th Ave Ne Suite 500
Bellevue
WA 98004
Practice Telephone 4254543938
Practice Fax Number 4254542568
Mailing Telephone 4254543938
Mailing Fax Number 4254542568
Enumeration Date 2007-01-23
Last Update Date 2008-04-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist LD00004422 WA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR & INDUSTRY 0218801 01
WA REGENCE BLUESHIELD 65043U 01
WA 8476038 05

Office Location

Street Address 1135 116TH AVE NE
SUITE 500
City BELLEVUE
State WA
Zip Code 98004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992702443 The Eastside Endoscopy Center LLC Clinic/Center 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 2005-06-30
1366092728 Sharpevision Pllc Optometrist 1135 116th Ave Ne, Bellevue, WA 98004-4623 2019-09-18
1447775960 Ngan Kim Hoang Pharmacist 1135 116th Ave Ne, #105, Bellevue, WA 98004 2017-08-04
1871831420 Jacqueline Suzanne Berkeihiser Counselor 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 2013-01-16
1306193255 Raisa R Volodarsky Pharmacist 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 2012-08-09
1952673238 Northwest Center for Urology Urology 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 2012-02-02
1548545973 Daniel Hee-chul Hahm Pharmacist 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 2011-10-17
1811272792 Kendra Lian Marks Audiologist 1135 116th Ave Ne, Suite 500, Bellevue, WA 98004-4623 2011-10-11
1134439540 Aeisha Bhatti Adnan Physician Assistant 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 2010-10-19
1730496092 Washington Urology Associates, Pllc Clinic/Center 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 2010-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013466044 William Blunk Audiologist 1940 116th Ave Ne Ste 103, Bellevue, WA 98004-3011 2016-10-03
1912213042 Ryan Anthony Antonio Audiologist 17515 Se 47th St, Bellevue, WA 98006-6533 2010-08-26
1689820854 Merrilee Rose Brandt Audiologist 11511 Ne 10th St # 250, Bellevue, WA 98004-8578 2008-08-07
1164447793 Susan Lynn Daniels Audiologist 1034 116th Ave Ne, Suite B 3, Bellevue, WA 98004-4614 2006-07-13
1114974177 David A Renne Audiologist 1038 116th Ave Ne, Ste 330, Bellevue, WA 98004-4621 2006-05-27
1811940349 Vicki A Deshazo Audiologist 208 Bellevue Way Ne, Bellevue, WA 98004-5720 2006-05-18
1720088685 Thomas Littman Audiologist 12600 Se 38th St Ste 104, Bellevue, WA 98006-5232 2005-07-21
1407346679 Pac Audiology, Pllc Audiologist 1370 116th Ave Ne Ste 201, Bellevue, WA 98004-3825 2018-05-14
1447775218 Hillary Rose Perry Audiologist 1231 116th Ave Ne Ste 915, Bellevue, WA 98004-3822 2017-08-14
1508241191 Jessica Elizabeth King Audiologist 11511 Ne 10th St, Bellevue, WA 98004-8578 2015-07-23
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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