Healthcare Provider Details

I. General information

NPI: 1396780995
Provider Name (Legal Business Name): ASHLEY CARLOTTA AL-IZZI AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY CARLOTTA WILCOX M.S.

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 120TH AVE NE STE E40
KIRKLAND WA
98034-3045
US

IV. Provider business mailing address

12911 120TH AVE NE STE E40
KIRKLAND WA
98034-3045
US

V. Phone/Fax

Practice location:
  • Phone: 425-821-6600
  • Fax:
Mailing address:
  • Phone: 425-821-6600
  • Fax: 425-821-6602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00004507
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD00004507
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: