Lisa Janicki, MS, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

00131 Issued in RI

Practice address

999 S Broadway
East Providence, RI 02914-4701

Phone

(401) 431-5100

NPI assigned

Nov 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Hearing Solutions, IncGroup PAC ID 6305108697, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Gateway Hearing Solutions, Inc

  • Audiologist
  • Warwick, RI
  • NPI 1992214217
  Medicare reassignment Care Compare group NPD
• Ocean State Hearing Aid Center

  • Audiologist
  • Providence, RI
  • NPI 1386789287
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1225339062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144701",
            "telephone_number": "401-431-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICKI",
        "first_name": "LISA",
        "credential": "MS, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "RI",
            "license": "000131",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "RI",
            "license": "00131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa@gatewayhearing.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "999 S Broadway",
            "city": "East Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029144701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Independence, LLC
• Linda Cleary Ingle, MSPT
• Melissa E Ings, ACNP-BC
• Irie Transitional Program
• Marc Alexander Jaffe, M.D.
• Margaret Mary Jarrell, RN
• Jeanine Le-Kreuzer, LMHC
• Derek Randall Jenkins, M.D.
• John McGonigle MD LLC
• Antoinette Johnson, RN

• Audiologist in East Providence, RI
• Providers in East Providence, RI by specialty
• Audiologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.