Lake Audiology Inc

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

LAKE AUDIOLOGY INC

Doing business as

Forest Audiology

Practice address

15243 Forest Rd Ste D
Forest, VA 24551-4974

Phone

(434) 266-9898

Fax

(434) 266-9848

NPI assigned

Mar 3, 2023

Last updated

Aug 18, 2023By 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

Dr. Alyson Lake, AUD, PHDNPI 1669873931

Title

President

Phone

(434) 266-9898

Specialties & licenses 1

Addresses

Other names 1

• Forest Audiology Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

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.

• Alyson Butler Lake, AU-D

  • Audiologist
  • Forest, VA
  • NPI 1669873931
  Medicare reassignment Care Compare group NPD Authorized official
• Hope Amanda Moffa, AU.D.

  • Audiologist
  • Forest, VA
  • NPI 1093131294
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1093415515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 FOREST RD STE D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514974",
            "telephone_number": "434-266-9898",
            "fax_number": "434-266-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 FOREST RD STE D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514974",
            "telephone_number": "434-266-9898",
            "fax_number": "434-266-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-266-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD, PHD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forest Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahesh Kumar Kodikalla Srinivasulu, P.T.
• Andrew Edward Kosiba, DPT
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kristen Kuk, MD
• Kyle W. Wheeler, DDS, PC
• Alyson Butler Lake, AU-D
• Thomas Lamartina, RPH
• Charles Riley Latham, D.O.
• Haley Latta
• Francesca Lattanzi, PA

• Audiologist-Hearing Aid Fitter in Forest, VA
• Providers in Forest, VA by specialty
• Audiologist-Hearing Aid Fitter in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.