Saline Audiology Associates, LLC.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A#77 Issued in AR

Legal business name

SALINE AUDIOLOGY ASSOCIATES, LLC.

Practice address

5 Medical Park Dr
Ste 101
Benton, AR 72015-3729

Phone

(501) 778-3868

Fax

(501) 317-1704

NPI assigned

Mar 22, 2006

Last updated

Nov 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa C Richey, AU.D.NPI 1841265055

Title

Owner

Phone

(501) 778-3868

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa C Richey, AUD

  • Audiologist
  • Benton, AR
  • NPI 1841265055
  Medicare reassignment Care Compare group NPD Authorized official
• Credonna L Miller, AUD

  • Audiologist
  • Benton, AR
  • NPI 1063487288
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1063471597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "STE 101",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-778-3868",
            "fax_number": "501-317-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "STE 101",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-778-3868",
            "fax_number": "501-317-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE AUDIOLOGY ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-778-3868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AR",
            "license": "A#77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131888720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Saline County Medical Center (Saline Memorial Hospital)
• Saline County Medical Center (Saline Memorial Hospital)

• Audiologist-Hearing Aid Fitter in Benton, AR
• Providers in Benton, AR by specialty
• Audiologist-Hearing Aid Fitter in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.