Individual provider Active NPI

Laura Lynn Tasse, AUD

  • Audiologist
  • Framingham, MA
National Provider Identifier
1063456481
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
396 Issued in MA
Practice address
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone
(617) 964-6681
Fax
(339) 686-2561
NPI assigned
Jun 15, 2006
Last updated
Jan 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A513 NH
Audiologist 231H00000X 000297 CT
Audiologist 231H00000X AT001172L PA
Audiologist 231H00000X 002183-1 NY
Audiologist 231H00000X AUD00203 RI
Audiologist 231H00000X 51651 TX
Audiologist 231H00000X 396 MA Primary

Addresses

Primary practice location

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555

Mailing address

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (617) 964-6681

Other identifiers 4

IdentifierTypeStateIssuer
110062743AMedicaidMA
1063456481MedicaidCT
174257902MedicaidTX
3078788MedicaidNH

Other names 1

  • Dr. Laura Lynn Conley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT, RI, IN, MN, OH, MI7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20070305000126 MA Practitioner - Qualified Audiologist 4981657228 Reassigns benefits to 1 organization
I20070718000630 CT Practitioner - Qualified Audiologist 4981657228 Reassigns benefits to 1 organization
I20080124000554 RI Practitioner - Qualified Audiologist 4981657228 Reassigns benefits to 1 organization
I20170508002183 IN Practitioner - Qualified Audiologist 4981657228 Reassigns benefits to 1 organization
I20191213001551 MN Practitioner - Qualified Audiologist 4981657228 Reassigns benefits to 1 organization
I20210527003116 OH Practitioner - Qualified Audiologist 4981657228 Reassigns benefits to 1 organization
I20210607002609 MI Practitioner - Qualified Audiologist 4981657228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
396MAMDIntellectual & Developmental Disabilities Psychologist
002183-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Audiology Associates, PC Audiologist CurrentSince May 1, 2017 Accepting new patients
Healthdrive Audiology Corporation Audiologist CurrentSince Nov 21, 2019 Accepting new patients
Lonestar Audiology Group, LLC Current Accepting new patients
Mobile Audiology Associates, P.C. Audiologist CurrentSince Sep 8, 2011 Accepting new patients
Mobile Audiology Associates, P.C. CurrentSince Mar 8, 2012 Accepting new patients
Healthdrive Audiology Group, PC Audiologist Past Accepting new patients
Mobile Audiology Associates, P.C. Audiologist Past Accepting new patients
Mobile Audiology Associates, P.C. Past Accepting new patients
Healthdrive Audiology Group, PC Audiologist Past Accepting new patients
Jeffrey L. Morer, OD, PC Past Accepting new patients
Steven S. Charlap, MD, PC Audiologist Past Accepting new patients
Jeffrey L. Morer, OD, PC Past Accepting new patients
Healthdrive Podiatry Group, PC Past Accepting new patients
Mobile Audiology Associates, P.C. Audiologist Past Accepting new patients
Mobile Audiology Associates, PC Past Accepting new patients

Locations

1 Prestige Dr
Ste 107
Meriden, CT 06450
Phone (203) 639-0311

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

7823 Old State Road 60
Sellersburg, IN 47172
Phone (812) 246-4272

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

25 Needham St
#4
Newton, MA 02461

25 Needham St
Newton Hlds, MA 02461
Phone 6179646681158

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

7600 France Ave S
Ste 1100
Minneapolis, MN 55435
Phone (763) 545-7545

1907 Wayzata Blvd
Fl 3
Wayzata, MN 55391
Phone (612) 217-2101

655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578

333 Green End Ave
Middletown, RI 02842
Phone (401) 468-8333

4201 FM 1960 Rd W
Ste 230
Houston, TX 77068
Phone (281) 537-1599

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1063456481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD",
            "address_2": "SUITE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD",
            "address_2": "SUITE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSE",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A513",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000297",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT001172L",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002183-1",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "RI",
            "license": "AUD00203",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51651",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110062743A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063456481",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174257902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078788",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CONLEY",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.

Verify at the official NPI Registry.