Samantha Lackey

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1609 Issued in NC

Practice address

1217-F NC Highway 16
Conover, NC 28613

Phone

(828) 469-6068

NPI assigned

Sep 3, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Blue Ridge Hearing, LLC

  • Hearing Instrument Specialist
  • Conover, NC
  • NPI 1710611579
  NPD Authorized official
• Audpractice Group

  • Hearing and Speech Clinic/Center
  • Greensboro, NC
  • NPI 1851825236

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1386258671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PLANTATION RIDGE DR STE 140",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179175",
            "telephone_number": "704-230-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217-F NC HIGHWAY 16",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-469-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Kirby, R.PH, CMF
• Lauren Ann Kiziah, PHARMD
• Alexis Komornik, CPNP
• Anastasia Cherie Elizabeth Kosiske, MD
• Alexander John Krisko, DMD, MD
• Carol Lands, PA
• Thomas F Laney Jr., MD
• Bee Lao
• Larissa M. Mastro, DDS, P.a.
• Melissa Leonhardt, MA

• Hearing Instrument Specialist in Conover, NC
• Providers in Conover, NC by specialty
• Hearing Instrument Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.