Lisa A Greenway, MA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002271A Issued in IN

Practice address

8806 Coldwater Rd
Fort Wayne, IN 46825-2715

Phone

(260) 482-4327

Fax

(260) 482-4320

NPI assigned

Dec 20, 2005

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa A Konger Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Professional Hearing Solutions of Indiana

  dba Professional Hearing Solutions

  • Audiologist
  • Fort Wayne, IN
  • NPI 1205178910
  Medicare reassignment NPD Authorized official
• Hearcare Connection, Inc.

  • Audiologist
  • Fort Wayne, IN
  • NPI 1174899405
  Medicare reassignment NPD

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1073599296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252715",
            "telephone_number": "260-482-4327",
            "fax_number": "260-482-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252715",
            "telephone_number": "260-482-4327",
            "fax_number": "260-482-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Hillcrest Ct",
            "address_purpose": "LOCATION",
            "city": "Ossian",
            "state": "IN",
            "postal_code": "467779126",
            "country_code": "US",
            "telephone_number": "260-227-3022",
            "fax_number": "260-274-7834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-08-23",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002271A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200341310",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgreenway@professionalhearingsolutions.org",
            "affiliation": "N",
            "endpointDescription": "lgreenway@professionalhearingsolutions.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8806 Coldwater Rd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468252715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KONGER",
            "middle_name": "A",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summer Green, RN
• Tanya Laurette Green, MSW
• Marc Greenberg, MD
• Gareth Ian Greener, RBT
• Joseph A Greenlee III, M. D.
• Carolyn Warner Greer, M.D.
• Denise Y Greer, RN
• Samuel Douglas Greeson, MD
• Katharine Gregg
• Gregory Isch (Isch Counseling Services)

• Audiologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.

Verify at the official NPI Registry.