Individual provider Active NPI

Lainie D Hales, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Mesa, AZ
National Provider Identifier
1205094307
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA4669 Issued in AZ
Practice address
1520 S. Dobson Road
Suite 305
Mesa, AZ 85202
Phone
(480) 539-4000
Fax
(480) 833-3040
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA4669 AZ Primary

Addresses

Primary practice location

1520 S. Dobson Road
Suite 305
Mesa, AZ 85202

Mailing address

2222 E. Highland Ave
Suite 204
Phoenix, AZ 85016-4876
Phone (602) 257-4219

Other names 1

  • Lainie D Tennant Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000475 AZ Practitioner - Qualified Audiologist 1850374281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley ENT PCGroup PAC ID 8729149711, 70 clinicians

Practice addresses (Care Compare)

4140 E Baseline Rd
Suite 211
Mesa, AZ 85206-4415
Phone (480) 273-8680

9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003568GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Otolaryngology Consultants, PC PastSince Mar 16, 1998 Accepting new patients
Northern Arizona Ear Nose and Throat PC PastSince Sep 1, 2001 Accepting new patients
Valley ENT, PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1205094307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E. HIGHLAND AVE",
            "address_2": "SUITE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164876",
            "telephone_number": "602-257-4219",
            "fax_number": "602-257-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S. DOBSON ROAD",
            "address_2": "SUITE 305",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-539-4000",
            "fax_number": "480-833-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "LAINIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA4669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAINIE",
            "last_name": "TENNANT",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.