Individual provider Active NPI

Erin Lackinger, M.ED.

  • Audiologist
  • Tallahassee, FL
National Provider Identifier
1407967334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1288 Issued in FL
Practice address
1405 Centerville Rd
Suite 5400
Tallahassee, FL 32308-4655
Phone
(850) 877-0101
Fax
(850) 877-2750
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 AY1288 FL Primary

Addresses

Primary practice location

1405 Centerville Rd
Suite 5400
Tallahassee, FL 32308-4655

Mailing address

1405 Centerville Rd
Suite 5400
Tallahassee, FL 32308-4655
Phone (850) 877-0101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000262 FL Practitioner - Qualified Audiologist 5395817779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Ear, Nose and Throat-Head and Neck Surgery, P.a.Group PAC ID 6608858840, 15 clinicians

Practice addresses (Care Compare)

1405 Centerville Rd
Suite 5400
Tallahassee, FL 32308-4654
Phone (850) 877-0101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a. CurrentSince Jul 1, 2016 Accepting new patients

Locations

1405 Centerville Rd
Ste 5400
Tallahassee, FL 32308
Phone (850) 877-0101

Interoperability endpoints

  • Direct secure messaging: erin.lackingeraud.p1@direct.tallyent.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407967334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD",
            "address_2": "SUITE 5400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084655",
            "telephone_number": "850-877-0101",
            "fax_number": "850-877-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD",
            "address_2": "SUITE 5400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084655",
            "telephone_number": "850-877-0101",
            "fax_number": "850-877-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKINGER",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.