Individual provider Active NPI

Jeffery Lance Creel II, AUD.

  • Audiologist-Hearing Aid Fitter
  • Metairie, LA
National Provider Identifier
1336556687
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
7166 Issued in LA
Practice address
3330 Lake Villa Dr
Suite100
Metairie, LA 70002-4357
Phone
(504) 889-5339
Fax
(504) 454-6692
NPI assigned
Jul 18, 2014
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 7166 LA Primary

Addresses

Primary practice location

3330 Lake Villa Dr
Suite100
Metairie, LA 70002-4357

Mailing address

3330 Lake Villa Dr
Suite100
Metairie, LA 70002-4357
Phone (504) 889-5339

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

State licenses

LicenseStateTypeSpecialty
7166LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Creel Hearing Center, L.L.C. PastSince Aug 21, 2021 Accepting new patients
Creel Hearing Center, LLC Past Accepting new patients

Organizations & group practices 2

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1336556687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 LAKE VILLA DR",
            "address_2": "SUITE100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024357",
            "telephone_number": "504-889-5339",
            "fax_number": "504-454-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 LAKE VILLA DR",
            "address_2": "SUITE100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024357",
            "telephone_number": "504-889-5339",
            "fax_number": "504-454-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEL",
        "first_name": "JEFFERY",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "7166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.