Active NPI
Lesly Loiseau, AU.D.
- Audiologist
- Spokane, WA
National Provider Identifier
1316933252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00002435
- Practice address
- 801 W 5TH Ave
Dmob Suite 112
Spokane, WA 99204-2823 - Phone
- (509) 835-5111
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- 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 | LD00002435 | WA | Primary |
Addresses
Primary practice location
801 W 5TH Ave
Dmob Suite 112
Spokane, WA 99204-2823
Mailing address
801 W 5TH Ave
Dmob Suite 112
Spokane, WA 99204-2823
Phone (509) 835-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9050709 | Medicaid | WA | |
| 7132756 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198281600000",
"number": "1316933252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W 5TH AVE",
"address_2": "DMOB SUITE 112",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042823",
"telephone_number": "509-835-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W 5TH AVE",
"address_2": "DMOB SUITE 112",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042823",
"telephone_number": "509-835-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOISEAU",
"first_name": "LESLY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2007-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00002435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9050709",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7132756",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.