Individual provider Active NPI

Elizabeth Robertson Laney, AU.D.

  • Audiologist
  • Clarksdale, MS
National Provider Identifier
1073678249
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A3198 Issued in MS
Practice address
1742 Cheryl St
Clarksdale, MS 38614-7218
Phone
(662) 627-5247
Fax
(662) 627-1739
NPI assigned
Dec 27, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A3198 MS Primary

Addresses

Primary practice location

1742 Cheryl St
Clarksdale, MS 38614-7218

Mailing address

1742 Cheryl St
Clarksdale, MS 38614-7218
Phone (662) 627-5247

Other names 1

  • Ms. Elizabeth Katherine Robertson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksdale Speech and Hearing Center Audiologist Current Accepting new patients
Therapy Innovations, Inc Past Accepting new patients

Locations

1742 Cheryl St
Clarksdale, MS 38614
Phone (662) 627-5247

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1073678249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 CHERYL ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147218",
            "telephone_number": "662-627-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 CHERYL ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147218",
            "telephone_number": "662-627-5247",
            "fax_number": "662-627-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEY",
        "first_name": "ELIZABETH",
        "middle_name": "ROBERTSON",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ROBERTSON",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.