Active NPI
Lea M Williamson
- Audiologist
- Marshall, MN
National Provider Identifier
1124259346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8522
- Practice address
- 300 S Bruce St
Marshall, MN 56258-1934 - Phone
- (507) 532-2687
- Fax
- (507) 537-9190
- NPI assigned
- Aug 5, 2009
- 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 | 8522 | MN | Primary |
Addresses
Primary practice location
300 S Bruce St
Marshall, MN 56258-1934
Mailing address
300 S Bruce St
Marshall, MN 56258-1934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8522 | Other | MN | LICENSURE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1124259346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581934",
"telephone_number": "507-532-2687",
"fax_number": "507-537-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "LEA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "8522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "8522",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.