Lynnette B Bardolf, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

826A Issued in AL

Practice address

301 Andrews Avenue
Fort Rucker, AL 36362

Phone

(334) 255-7387

NPI assigned

Nov 6, 2006

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 AL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360Care Services of Al LLCGroup PAC ID 7719240977, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.77 of 100Reported as group

Quality

45.94

Promoting interoperability

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• 360Care Services of Al LLC

  • Audiologist
  • Montgomery, AL
  • NPI 1710493176
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326117367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 GATEWAY DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363307811",
            "telephone_number": "334-347-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVENUE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDOLF",
        "first_name": "LYNNETTE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "826A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Rebecca Baden, HEALTH PROMOTION TEC
• Ann Louise Bagley, DMD
• Laura Sueann Ball, DO
• Joseph William Baltz, EMT
• Tiger Barbee
• Raven Elise Barker
• Ashley Barnes, LPN
• Judith Annette Barnes, MEDICAL ASSISTANT
• John Louis Bates, NREMT
• Richard Bauer, EMT-I

• Audiologist in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Audiologist in Alabama

• 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.
• 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.