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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5396NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Audiology and Speech Inc. Audiologist Current
since Jul 30, 2012
Accepting new patients

Locations

1620 S 3rd St
Sanford, NC 27330
Phone (919) 774-3277

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2015.

{
    "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

All providers in Sanford, NC · Audiologist in North Carolina

Sources for this page

Verify at the official NPI Registry.