Lisa Michelle Barbour, AU.D.
Individual provider Active NPI Audiologist · Sanford, NC
NPI 1154566503 · NPPES record last updated Jul 21, 2015
Key facts
- NPI
- 1154566503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 5396 (NC)
- Practice address
- 1620 S 3Rd St
Sanford, NC 27330-5662 - Phone
- (919) 774-3277
- Fax
- (919) 774-1643
- NPI assigned
- Dec 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5396 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Audiology and Speech Inc. | Audiologist | Current |
Accepting new patients |
Locations
1620 S 3rd St
Sanford, NC 27330
Phone (919) 774-3277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5396 | NC | Yes |
| Audiologist-Hearing Aid Fitter | 237600000X | 5396 | NC |
Addresses
Primary practice location
1620 S 3Rd St
Sanford, NC 27330-5662
Mailing address
1620 S 3Rd St
Sanford, NC 27330-5662
Phone (919) 774-3277
NPI Registry JSON
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1154566503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 S 3RD ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305662",
"telephone_number": "919-774-3277",
"fax_number": "919-774-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 S 3RD ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305662",
"telephone_number": "919-774-3277",
"fax_number": "919-774-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOUR",
"first_name": "LISA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-12",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "5396",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "5396",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
- Hannah Forrest Bailey
- Melvin Baldwin
- Baptist Children'S Homes of NC Inc
- Baptist Children'S Homes of NC, Inc.
- Baptist Childrens Homes of NC Inc
- Virginia B Barbour
- Virginia May Barney
- Valerie Jean Barnwell
- Macey Gaines Barrow
- Danielle Bass
All providers in Sanford, NC · Audiologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.