Active NPI
Lynette Johnson, AU. D
- Audiologist
- Pompano Beach, FL
National Provider Identifier
1104008127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1393
- Practice address
- 1 W Sample Rd
Pompano Beach, FL 33064-3547 - Phone
- (954) 942-6868
- Fax
- (561) 939-0195
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1393 | FL | Primary |
Addresses
Primary practice location
1 W Sample Rd
Pompano Beach, FL 33064-3547
Mailing address
1601 Clint Moore Rd
Boca Raton, FL 33487-2768
Phone (561) 393-9150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1393 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1104008127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-393-9150",
"fax_number": "561-939-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W SAMPLE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330643547",
"telephone_number": "954-942-6868",
"fax_number": "561-939-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LYNETTE",
"name_prefix": "Ms.",
"credential": "AU. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.