Active NPI
Kristy Lamoureux, AU.D
- Audiologist
- Lakeville, MA
National Provider Identifier
1245565597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 867
- Practice address
- 21 Sherwood LN
Lakeville, MA 02347-2240 - Phone
- (508) 887-6283
- NPI assigned
- Oct 5, 2009
- Last updated
- Jun 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 867 | MA | Primary |
Addresses
Primary practice location
21 Sherwood LN
Lakeville, MA 02347-2240
Mailing address
21 Sherwood LN
Lakeville, MA 02347-2240
Phone (508) 887-6283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140409001226 | MA | Practitioner - Qualified Audiologist | 8729210505 | Practice locations: Lakeville, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 867 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1245565597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SHERWOOD LN",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023472240",
"telephone_number": "508-887-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SHERWOOD LN",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023472240",
"telephone_number": "508-887-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMOUREUX",
"first_name": "KRISTY",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.