OLIVIA VINUP AU.D.
NPI 1972485118
Audiologist in South Lake Tahoe, CA

Active since July 21, 2025
2074 LAKE TAHOE BLVD STE 9, SOUTH LAKE TAHOE, CA 96150(530) 537-3344 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Olivia Vinup Au.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA VINUP AU.D. (NPI 1972485118) is an individual audiologist in South Lake Tahoe, California, licensed in California (AU4045) and active in the NPI registry since July 2025. She is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2025).

NPPES Registry Identity

NPI1972485118
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameOLIVIA VINUPCredential: AU.D.
Location Address2074 LAKE TAHOE BLVD STE 9South Lake Tahoe, CA 96150-6417
Mailing Address964 Shakori DrSouth Lake Tahoe, CA 96150-4163 · (928) 287-0977
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2025
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1972485118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License Licensed in CA · AU4045
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.

2074 LAKE TAHOE BLVD STE 9, South Lake Tahoe, CA 96150

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olivia Vinup Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597267211
PECOS Enrollment IDI20250903002874

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2074 LAKE TAHOE BLVD STE 9
SOUTH LAKE TAHOE, CA 96150
Clinic/Center (Urgent Care)
2074 LAKE TAHOE BLVD STE 9
SOUTH LAKE TAHOE, CA 96150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972485118, enumerated as an "individual" on July 21, 2025.

The provider is located at 2074 LAKE TAHOE BLVD STE 9 SOUTH LAKE TAHOE, CA 96150 and the phone number is (530) 537-3344.

Audiologist with taxonomy code 231H00000X.