Active NPI
Terry L Lingle, H.A.D.
- Hearing Instrument Specialist
- Vincennes, IN
National Provider Identifier
1083836845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001283A
- Practice address
- 704 Vigo St
Vincennes, IN 47591-2832 - Phone
- (812) 882-5040
- Fax
- (812) 882-5040
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001283A | IN | Primary |
Addresses
Primary practice location
704 Vigo St
Vincennes, IN 47591-2832
Mailing address
704 Vigo St
Vincennes, IN 47591-2832
Phone (812) 882-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200849100 A | Medicaid | IN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001283A | IN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1083836845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 VIGO ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475912832",
"telephone_number": "812-882-5040",
"fax_number": "812-882-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 VIGO ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475912832",
"telephone_number": "812-882-5040",
"fax_number": "812-882-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINGLE",
"first_name": "TERRY",
"middle_name": "L",
"credential": "H.A.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001283A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200849100 A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.