Individual provider Active NPI

Lisa Marie Kurak, AU.D.

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1346317401
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-131 Issued in NV
Practice address
2600 S Rainbow Blvd
Suite #105
Las Vegas, NV 89146-4006
Phone
(702) 362-3138
Fax
(702) 362-9983
NPI assigned
Nov 30, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-131 NV Primary

Addresses

Primary practice location

2600 S Rainbow Blvd
Suite #105
Las Vegas, NV 89146-4006

Mailing address

721 Trixis PL
Las Vegas, NV 89144-4525
Phone (702) 341-0493

Other names 1

  • Ms. Lisa Marie Victor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202002587 OH Practitioner - Qualified Audiologist 1153428131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Associates of Northeast Ohio IncGroup PAC ID 1759486004, 6 clinicians

Practice addresses (Care Compare)

126 York Ave
Boardman, OH 44512-5615
Phone (330) 726-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-131NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates of Salem, Inc Audiologist CurrentSince Nov 4, 2024 Accepting new patients
Audiology Associates of Northeast Ohio Inc. Audiologist CurrentSince Nov 4, 2024 Accepting new patients
Soundpoint Audiology & Hearing Services LLC Audiologist Past Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients

Locations

980 W State St
Salem, OH 44460
Phone (330) 337-3332

8309 High St NE
Warren, OH 44484
Phone (330) 394-3300

126 York Ave
Youngstown, OH 44512
Phone (330) 726-3339

1400 S Raccoon Rd
Youngstown, OH 44515
Phone (330) 270-4327

3622 Belmont Ave
Ste 19
Youngstown, OH 44505
Phone (330) 759-3593

Organizations & group practices 4

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1346317401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 TRIXIS PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444525",
            "telephone_number": "702-341-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S RAINBOW BLVD",
            "address_2": "SUITE #105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464006",
            "telephone_number": "702-362-3138",
            "fax_number": "702-362-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURAK",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "VICTOR",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.