Individual provider Active NPI

Connie L Lenz, AUD.

  • Audiologist-Hearing Aid Fitter
  • Cedar Rapids, IA
National Provider Identifier
1144319344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
298 Issued in IA
Practice address
1953 1St Ave SE
Ste B2
Cedar Rapids, IA 52402-5328
Phone
(319) 364-3322
Fax
(319) 362-2422
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 298 IA Primary
Audiologist-Hearing Aid Fitter 237600000X 506 IA

Addresses

Primary practice location

1953 1St Ave SE
Ste B2
Cedar Rapids, IA 52402-5328

Mailing address

50 E Chestnut St
North Liberty, IA 52317-9305
Phone (319) 364-3322

Other identifiers 4

IdentifierTypeStateIssuer
F234880OtherIAMIDLAND'S CHOICE
99893OtherIABLUE CROSS BLUE SHIELD
99971OtherIABCBS OF IOWA
3061911MedicaidIA

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

LicenseStateTypeSpecialty
506IAMDAthletic Trainer
298IAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144319344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E CHESTNUT ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179305",
            "telephone_number": "319-364-3322",
            "fax_number": "319-362-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 1ST AVE SE",
            "address_2": "STE B2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025328",
            "telephone_number": "319-364-3322",
            "fax_number": "319-362-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZ",
        "first_name": "CONNIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AUD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "298",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE",
            "identifier": "F234880",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99893",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IOWA",
            "identifier": "99971",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3061911",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.