Individual provider Active NPI

Lucile Adeline Donald, AU.D.

  • Audiologist
  • Tallahassee, FL
National Provider Identifier
1437993102
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2814 Issued in FL
Practice address
1405 Centerville Rd Ste 5400
Tallahassee, FL 32308-4654
Phone
(850) 877-0101
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2814 FL Primary

Addresses

Primary practice location

1405 Centerville Rd Ste 5400
Tallahassee, FL 32308-4654

Mailing address

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

Other names 1

  • Lucile Adeline Puranen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725000050 FL Practitioner - Qualified Audiologist 6103362272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2814FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a. CurrentSince Jun 20, 2024 Accepting new patients

Locations

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

2625 Mitcham Dr
Tallahassee, FL 32308
Phone (850) 616-7011

Interoperability endpoints

  • Direct secure messaging: lucile.donaldaud.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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1437993102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 5400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084654",
            "telephone_number": "850-877-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 5400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084654",
            "telephone_number": "850-877-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "LUCILE",
        "middle_name": "ADELINE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCILE",
            "last_name": "PURANEN",
            "middle_name": "ADELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 19, 2024; 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.