Individual provider Active NPI

Ashley Boynton Thom, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Lafayette, LA
National Provider Identifier
1255619748
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
6508 Issued in LA
Practice address
110 Exchange PL
Lafayette, LA 70503-2580
Phone
(337) 291-9939
Fax
(337) 291-9023
NPI assigned
Aug 1, 2011
Last updated
Jan 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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 6508 LA Primary

Addresses

Primary practice location

110 Exchange PL
Lafayette, LA 70503-2580

Mailing address

110 Exchange PL
Lafayette, LA 70503-2580
Phone (337) 291-9939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000194 LA Practitioner - Qualified Audiologist 8729255922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Exchange Place
100 Selective Hearing of Acadiana
Lafayette, LA 70503-2580
Phone (337) 291-9939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Selective Hearing of Acadiana, LLC CurrentSince Apr 13, 2017 Accepting new patients

Locations

110 Exchange Pl
Ste 100
Lafayette, LA 70503
Phone (337) 291-9939

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1255619748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EXCHANGE PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032580",
            "telephone_number": "337-291-9939",
            "fax_number": "337-291-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EXCHANGE PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032580",
            "telephone_number": "337-291-9939",
            "fax_number": "337-291-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOM",
        "first_name": "ASHLEY",
        "middle_name": "BOYNTON",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.