Active NPI
Leslie Ann Lemmon, M.A.
- Audiologist
- Arcata, CA
National Provider Identifier
1386742450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 1484
- Practice address
- 4677 Valley East Blvd Ste 2
Arcata, CA 95521-4630 - Phone
- (707) 822-9122
- Fax
- (707) 822-1969
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 1484 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | HT 8112 | CA |
Addresses
Primary practice location
4677 Valley East Blvd Ste 2
Arcata, CA 95521-4630
Mailing address
4677 Valley East Blvd Ste 2
Arcata, CA 95521-4630
Phone (707) 822-9122
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 1484 | CA | MD | Audiologist |
| HT 8112 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell T. Terrill Aud | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1386742450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4677 VALLEY EAST BLVD STE 2",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214630",
"telephone_number": "707-822-9122",
"fax_number": "707-822-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4677 VALLEY EAST BLVD STE 2",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214630",
"telephone_number": "707-822-9122",
"fax_number": "707-822-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMMON",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 1484",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HT 8112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.