Active NPI
Lori Amber Roby, AUD
- Audiologist
- Southlake, TX
National Provider Identifier
1306338645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81057
- Practice address
- 2211 E Southlake Blvd Ste 525
Southlake, TX 76092-1533 - Phone
- (817) 873-6810
- NPI assigned
- Jun 2, 2018
- Last updated
- Jun 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 81057 | TX | Primary |
Addresses
Primary practice location
2211 E Southlake Blvd Ste 525
Southlake, TX 76092-1533
Mailing address
14255 Queens Chapel Rd
Farmers Branch, TX 75234-2115
Phone (817) 873-6810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81057 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optio, PLLC | Audiologist | Past | Accepting new patients |
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": "1527897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527897600000",
"number": "1306338645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14255 QUEENS CHAPEL RD",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752342115",
"telephone_number": "817-873-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E SOUTHLAKE BLVD STE 525",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921533",
"telephone_number": "817-873-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBY",
"first_name": "LORI",
"middle_name": "AMBER",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-02",
"last_updated": "2018-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.