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
- 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 and National Provider Directory roles.
-
- Audiologist
- Arcata, CA
- NPI 1952581084
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.