Jeffery Lane Jr., AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

1330 N Rim Dr Ste B
Flagstaff, AZ 86001-3138

Phone

(928) 522-0500

Fax

(855) 433-1122

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Trinity Hearing Center, Inc.

  • Audiologist
  • Flagstaff, AZ
  • NPI 1770857781
  Medicare reassignment

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1104318997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S WOODLANDS VILLAGE BLVD STE 300-409",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017114",
            "telephone_number": "928-522-0500",
            "fax_number": "855-433-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N RIM DR STE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013138",
            "telephone_number": "928-522-0500",
            "fax_number": "855-433-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JEFFERY",
        "name_suffix": "Jr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Lalan, M.S., CCC-SLP
• Duane Eugene Lambert, MD
• Carrie Lamberti
• Shawna Carolyn Landauer, PT, DPT
• Rebecca Landon, DNP, PMHNP
• Chad Lange, MD
• Amanda Lanigan, LCSW
• Melany Tzintzitlini Lara
• Ashlie Larriva, LPC
• Larry Charles Stevens, PH.D., P.C.

• Audiologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.