Individual provider Active NPI

Lisa Arnelle Peters, A.U.D.

  • Audiologist
  • Baltimore, MD
National Provider Identifier
1285834473
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1134 Issued in MD
Practice address
6565 N Charles St
Ppe Suite 601
Baltimore, MD 21204-6800
Phone
(410) 821-5151
Fax
(410) 823-8309
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1134 MD Primary

Addresses

Primary practice location

6565 N Charles St
Ppe Suite 601
Baltimore, MD 21204-6800

Mailing address

6565 N Charles St
Ppe Suite 601
Baltimore, MD 21204-6800
Phone (410) 821-5151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000446 MD Practitioner - Qualified Audiologist 3870653918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

6565 N Charles St
Suite 601
Baltimore, MD 21204-5801
Phone (410) 821-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1134MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Jan 19, 2014 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. Audiologist CurrentSince Jan 19, 2014 Accepting new patients
Centers for Advanced ENT Care, LLC Audiologist CurrentSince Oct 1, 2017 Accepting new patients

Locations

6565 N Charles St
Ste 601
Towson, MD 21204
Phone (410) 821-5151

6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140

120 Sister Pierre Dr
Ste 202
Towson, MD 21204
Phone (410) 216-4945

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1285834473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "PPE SUITE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "410-821-5151",
            "fax_number": "410-823-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "PPE SUITE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "410-821-5151",
            "fax_number": "410-823-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LISA",
        "middle_name": "ARNELLE",
        "name_prefix": "Mrs.",
        "credential": "A.U.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.