Active NPI
Lisa Anne Crouch, MA
- Audiologist
- Bluffton, SC
National Provider Identifier
1285883744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3996
- Practice address
- 10 William Pope Dr
Sungate Medical Center
Bluffton, SC 29909-7549 - Phone
- (843) 842-2020
- Fax
- (843) 705-1512
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
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.
-
- Otolaryngology Physician
- Charleston, SC
- NPI 1588607303
-
- Ambulatory Surgical Clinic/Center
- Charleston, SC
- NPI 1124026422
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1518259050
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1356308670
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charleston ENT Associates, LLC
Practice addresses (Care Compare)
2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.33 of 100
- Quality
- 86.06
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140604001769 | SC | Practitioner - Qualified Audiologist | 3678631793 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3996 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston ENT Associates, LLC | Current | Accepting new patients | |
| Charleston ENT Associates, LLC | Current | Accepting new patients | |
| Osler Hma Medical Group LLC | Past | Accepting new patients | |
| Osler Medical Inc | Past | Accepting new patients |
Locations
6 Arley Way
#101
Bluffton, SC 29910
2295 Henry Tecklenburg Dr
Charleston, SC 29414
1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600
Interoperability endpoints
- lisa.crouch.p93@direct.tenet.nextgenshare.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY358 | FL | |
| Audiologist | 231H00000X | 3996 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10 William Pope Dr
Sungate Medical Center
Bluffton, SC 29909-7549
Mailing address
10 William Pope Dr
Sungate Medical Center
Bluffton, SC 29909-7549
Phone (843) 842-2020
Other names 1
NPPES NPI Registry- Lisa Anne Roberts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2017.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1285883744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLIAM POPE DR",
"address_2": "SUNGATE MEDICAL CENTER",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299097549",
"telephone_number": "843-842-2020",
"fax_number": "843-705-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WILLIAM POPE DR",
"address_2": "SUNGATE MEDICAL CENTER",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299097549",
"telephone_number": "843-842-2020",
"fax_number": "843-705-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY358",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "ROBERTS",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.