Lynn Ellen Erickson-Meier, NBS-HIS #623
Individual provider Active NPI Hearing Instrument Specialist · Waterford, WI
NPI 1164697215 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1164697215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- NBC-HIS623 (WI)
- Practice address
- 4525 Gunderson Road
Waterford, WI 53185-3711 - Phone
- (262) 335-2327
- Fax
- (262) 335-2528
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 623 | WI | MD | Hearing Instrument Specialist |
| NBC-HIS623 | WI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foot and Ankle Clinic, Inc. | Past | Accepting new patients | |
| Dolphin Manor Adult Day Program | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6854/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 623 | WI | |
| Hearing Instrument Specialist | 237700000X | NBC-HIS623 | WI | Yes |
Addresses
Primary practice location
4525 Gunderson Road
Waterford, WI 53185-3711
Mailing address
4525 Gunderson Road
Waterford, WI 53185-3711
Phone (262) 483-4327
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42837000 | Medicaid | WI |
Other providers in Waterford, WI
- Erin Emily Droy
- Cathy Jo Duchow-Cross
- Kim T Duczak
- Kelli Dunham
- Lynette Marie Edwards
- Eye Wisconsin LLC
- Matthew Ferlindes
- Shelley Flasch
- Fluegge Optical
- Fox River Pedorthics, LLC
All providers in Waterford, WI · Hearing Instrument Specialist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. 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.