Loralee Ayn Van Wettering, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80259 Issued in TX

Practice address

18 W Washington Ave
Lovington, NM 88260-4023

Phone

(575) 739-2200

Fax

(575) 739-2205

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audio Acoustics Hearing Centers of Midland IncGroup PAC ID 9234021676, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Audio Acoustics Hearing Centers of Midland, Inc.

  • Audiologist
  • Midland, TX
  • NPI 1427250489
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1306589932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W WASHINGTON AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882604023",
            "telephone_number": "575-739-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W WASHINGTON AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882604023",
            "telephone_number": "575-739-2200",
            "fax_number": "575-739-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WETTERING",
        "first_name": "LORALEE",
        "middle_name": "AYN",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori P Tobler, M.D.
• Tessa Marie Torres, PA-C
• Christopher Mark Turner, COTA
• Lugene M Twiggs
• United Supermarkets LLC
• Julia L Vana, ARNP, CPNP
• Amrit Bhushan Varma, MD
• Adrian D Velasquez
• Kimberly Villar
• Lenard D Wagner, M.D.

• Audiologist in Lovington, NM
• Providers in Lovington, NM by specialty
• Audiologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.