Individual provider Active NPI

Jennifer Lynn Lantz, MS, CCC-A

  • Audiologist
  • Sallsbury, MD
National Provider Identifier
1124083050
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01007 Issued in MD
Practice address
1324 Belmont Ave
Ste 202
Sallsbury, MD 21804-4543
Phone
(410) 549-9552
Fax
(410) 315-8823
NPI assigned
Apr 20, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01007 MD Primary

Addresses

Primary practice location

1324 Belmont Ave
Ste 202
Sallsbury, MD 21804-4543

Mailing address

580-I Ritchie Highway
Severna Park, MD 21146-3922
Phone (410) 647-7795

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Hearing Centers Inc Audiologist PastSince Jan 1, 1997 Accepting new patients
University of Maryland Community Medical Group, Inc. Past Accepting new patients
David V. Martini, M.D. P.a. Past Accepting new patients
New Health of North East, LLC PastSince Feb 13, 2019 Accepting new patients
Chesapeake Ear,Nose,Throat, Sinus & Hearing Center, LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1124083050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580-I RITCHIE HIGHWAY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463922",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BELMONT AVE",
            "address_2": "STE 202",
            "city": "SALLSBURY",
            "state": "MD",
            "postal_code": "218044543",
            "telephone_number": "410-549-9552",
            "fax_number": "410-315-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallsbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.