Active NPI
Emiko Jane Lejeune, M.S.
- Audiologist
- Clarksville, TN
National Provider Identifier
1013910892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1149
- Practice address
- 1740 Memorial Dr
Clarksville, TN 37043-4561 - Phone
- (931) 645-3937
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0216 | KY | |
| Audiologist | 231H00000X | 1149 | TN | Primary |
Addresses
Primary practice location
1740 Memorial Dr
Clarksville, TN 37043-4561
Mailing address
1740 Memorial Dr
Clarksville, TN 37043-4561
Phone (931) 645-3937
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3192569 | Medicaid | TN | |
| 5310751 | Other | TN | AETNA HEALTHCARE |
| 110-3973866002 | Other | TN | CIGNA |
| 4035629 | Other | TN | BLUE CROSS/ BLUE SHIELD |
| 9376162 | Other | TN | PHCS |
Other names 1
- Emiko Jane McGraw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Vanderbilt University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 Memorial Dr
Clarksville, TN 37043-9500
Phone (931) 645-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1149 | TN | MD | Marriage & Family Therapist |
| 0216 | KY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Audiology, PC | Audiologist | Current | Accepting new patients |
Locations
1740 Memorial Dr
Clarksville, TN 37043
Phone (931) 645-3937
1740 Memorial Dr
Ste 1
Clarksville, TN 37043
Phone (931) 245-7000
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.
-
- Hearing and Speech Clinic/Center
- Clarksville, TN
- NPI 1790983104
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013910892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434561",
"telephone_number": "931-645-3937",
"fax_number": "931-645-1043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434561",
"telephone_number": "931-645-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEJEUNE",
"first_name": "EMIKO",
"middle_name": "JANE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0216",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3192569",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "5310751",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "110-3973866002",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "4035629",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9376162",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMIKO",
"last_name": "MCGRAW",
"middle_name": "JANE",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.