Individual provider Active NPI

Jennifer Sue Lane, M.A., CCC-A

  • Audiologist
  • Carmel, IN
National Provider Identifier
1356321905
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002250A Issued in IN
Practice address
12065 Old Meridian Street
Suite 205
Carmel, IN 46032
Phone
(317) 705-2700
Fax
(317) 705-2718
NPI assigned
Jan 19, 2006
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002250A IN Primary

Addresses

Primary practice location

12065 Old Meridian Street
Suite 205
Carmel, IN 46032

Mailing address

7855 S Emerson Ave Ste I
Indianapolis, IN 46237-8669
Phone (317) 818-3490

Other names 1

  • Ms. Jennifer Sue Kees Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000721 IN Practitioner - Qualified Audiologist 0244306827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5110 Commerce Square Dr
Suite a
Indianapolis, IN 46237-9244
Phone (317) 536-3541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Northside ENT, Inc Audiologist CurrentSince Jul 1, 2008 Accepting new patients
Lane Hearing Care Audiologist CurrentSince Aug 3, 2022 Accepting new patients
Northside Hearing Care CurrentSince Jan 1, 2021 Accepting new patients

Locations

1180 Medical Ct
Ste C
Carmel, IN 46032
Phone (317) 569-1800

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

5110 Commerce Square Dr
Ste A
Indianapolis, IN 46237
Phone (317) 526-4731

7855 S Emerson Ave
Ste I
Indianapolis, IN 46237
Phone (317) 300-0370

Organizations & group practices 3

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1356321905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE I",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "317-818-3490",
            "fax_number": "317-884-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 OLD MERIDIAN STREET",
            "address_2": "SUITE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-705-2700",
            "fax_number": "317-705-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002250A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KEES",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "M.A., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.