Individual provider Active NPI

Learose Matzo Laporte, AUD

  • Audiologist
  • Cranston, RI
National Provider Identifier
1417631409
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
288 Issued in RI
Practice address
1150 Reservoir Ave Ste 305B
Cranston, RI 02920-6032
Phone
(401) 942-8080
Fax
(401) 942-3666
NPI assigned
Jun 12, 2023
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 288 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 305B
Cranston, RI 02920-6032

Mailing address

1150 Reservoir Ave Ste 305B
Cranston, RI 02920-6032
Phone (401) 942-8080

Other practice location 1

1130 Ten Rod Rd Ste E104
North Kingstown, RI 02852-4158
Phone (401) 942-8080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630000448 RI Practitioner - Qualified Audiologist 3870952344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Audiology IncGroup PAC ID 3779868666, 4 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Suite 305B
Cranston, RI 02920-6032
Phone (401) 942-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
288RIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Audiology, Inc. CurrentSince Jun 3, 2025 Accepting new patients

Locations

1150 Reservoir Ave
Ste 305B
Cranston, RI 02920
Phone (401) 942-8080

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1417631409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 305B",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-942-8080",
            "fax_number": "401-942-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 305B",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-942-8080",
            "fax_number": "401-942-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Ten Rod Rd Ste E104",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028524158",
            "country_code": "US",
            "telephone_number": "401-942-8080",
            "fax_number": "401-942-3666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAPORTE",
        "first_name": "LEAROSE",
        "middle_name": "MATZO",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "RI",
            "license": "288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.