Active NPI
Lynne Marie Bremer, MA, CCC-A, F-AAA
- Audiologist
- Tucson, AZ
National Provider Identifier
1306961651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD4203
- Practice address
- Arizona State Schools for the Deaf and the Blind
1200 W Speedway Blvd
Tucson, AZ 85745 - Phone
- (520) 770-3711
- NPI assigned
- Mar 19, 2007
- 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 | AUD4203 | AZ | Primary |
Addresses
Primary practice location
Arizona State Schools for the Deaf and the Blind
1200 W Speedway Blvd
Tucson, AZ 85745
Mailing address
Arizona State Schools for the Deaf and the Blind
P.O. Box 88510
Tucson, AZ 85754
Phone (520) 770-3824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 933235 | Other | AZ | AHCCCS PIN |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD4203 | AZ | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306961651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ARIZONA STATE SCHOOLS FOR THE DEAF AND THE BLIND",
"address_2": "P.O. BOX 88510",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85754",
"telephone_number": "520-770-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ARIZONA STATE SCHOOLS FOR THE DEAF AND THE BLIND",
"address_2": "1200 W SPEEDWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85745",
"telephone_number": "520-770-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "LYNNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA, CCC-A, F-AAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "AUD4203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS PIN",
"identifier": "933235",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.