Active NPI
Lindsey Rebecca Moder, AU.D
- Audiologist
- Lakeland, FL
National Provider Identifier
1043827181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2396
- Practice address
- 1755 N Florida Ave
Lakeland, FL 33805-3109 - Phone
- (863) 680-7486
- Fax
- (866) 264-8519
- NPI assigned
- Sep 23, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY2396 | FL | Primary |
Addresses
Primary practice location
1755 N Florida Ave
Lakeland, FL 33805-3109
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY2396 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metx, LLC | Current | Accepting new patients | |
| Allison Audiology & Hearing Aid Services, P.C. | Audiologist | Current | Accepting new patients |
| Allison Audiology & Hearing Aid Center PC | Audiologist | Current | Accepting new patients |
Locations
12900 Queensbury Ln
Ste 100
Houston, TX 77079
Phone (713) 322-6974
104 Circle Way St
Ste D
Lake Jackson, TX 77566
Phone (979) 292-8501
Organizations & group practices 3
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.
-
- Audiologist
- Houston, TX
- NPI 1083055107
-
- Audiologist
- Houston, TX
- NPI 1265559405
-
- Audiologist-Hearing Aid Fitter
- Lake Jackson, TX
- NPI 1073385043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1043827181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053019",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053109",
"telephone_number": "863-680-7486",
"fax_number": "866-264-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODER",
"first_name": "LINDSEY",
"middle_name": "REBECCA",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.