Individual provider Active NPI

Kimberly Sue Lamb, AU.D.

  • Audiologist
  • Eustis, FL
National Provider Identifier
1073955423
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2121 Issued in FL
Practice address
2755 S Bay St Ste F
Eustis, FL 32726-6587
Phone
(352) 483-4327
Fax
(352) 483-4328
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004031 GA
Audiologist 231H00000X 1601000650 MI
Audiologist 231H00000X AY2121 FL Primary

Addresses

Primary practice location

2755 S Bay St Ste F
Eustis, FL 32726-6587

Mailing address

2755 S Bay St Ste F
Eustis, FL 32726-6587
Phone (352) 483-4327

Other practice location 1

918 Rolling Acres Rd Ste 4
Lady Lake, FL 32159-5026
Phone (352) 268-2578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228002096 FL Practitioner - Qualified Audiologist 0042444325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2755 S Bay St
Suite F
Eustis, FL 32726-6587
Phone (352) 483-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lamb Audiology LLC Audiologist CurrentSince Oct 3, 2022 Accepting new patients
Atlantic Ear Nose & Throat PA CurrentSince Jun 22, 2020 Accepting new patients
Five CS Communication Care PLC Audiologist Past Accepting new patients
Florida ENT Associates, Inc. PastSince Feb 1, 2022 Accepting new patients

Locations

2755 S Bay St
Ste F
Eustis, FL 32726
Phone (352) 482-4327

918 Rolling Acres Rd
Ste 4
Lady Lake, FL 32159
Phone (352) 268-2578

1301 S International Pkwy
Ste 2011
Lake Mary, FL 32746
Phone (407) 767-8554

963 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 774-9880

963 Town Center Dr
Orange City, FL 32763
Phone (386) 774-9880

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1073955423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S BAY ST STE F",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266587",
            "telephone_number": "352-483-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S BAY ST STE F",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266587",
            "telephone_number": "352-483-4327",
            "fax_number": "352-483-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 Rolling Acres Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321595026",
            "country_code": "US",
            "telephone_number": "352-268-2578",
            "fax_number": "352-268-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004031",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000650",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; 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.