Individual provider Active NPI

Lynda M Martin, MS F AAA

  • Audiologist
  • Worcester, MA
National Provider Identifier
1457415168
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
135 Issued in MA
Practice address
295 Lincoln St
Ste 105
Worcester, MA 01605
Phone
(508) 755-1391
Fax
(508) 363-4019
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 135 MA Primary

Addresses

Primary practice location

295 Lincoln St
Ste 105
Worcester, MA 01605

Mailing address

490 Shrewsbury St
Suite 2
Worcester, MA 01604-1607
Phone (508) 755-1391

Other identifiers 11

IdentifierTypeStateIssuer
043258935OtherUNICARE
680034OtherSECURE HORIZONS
680034OtherTUFTS
AS8957304000OtherCIGNA OUT OF NETWORK
5102669MedicaidMA
043258935OtherGIC GROUP INS COMMISSION
043258935OtherUNITED HEALTH CARE
043258935OtherAETNA
26550OtherFALLON
650422OtherHARVARD PILGRIM
WORC22004OtherHEAR PO

Other names 1

  • Ms. Lynda Martin Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001154 MA Practitioner - Qualified Audiologist 4284604588 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Affiliates of Hear Better, Inc Audiologist CurrentSince Dec 21, 1987 Accepting new patients

Locations

159 Union St
Ste 102
Marlborough, MA 01752
Phone (508) 481-0610

490 Shrewsbury St
Ste 2
Worcester, MA 01604
Phone (508) 755-1391

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1457415168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 SHREWSBURY ST",
            "address_2": "SUITE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041607",
            "telephone_number": "508-755-1391",
            "fax_number": "508-363-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 LINCOLN ST",
            "address_2": "STE 105",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-755-1391",
            "fax_number": "508-363-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LYNDA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS F AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "043258935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "680034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "680034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA OUT OF NETWORK",
            "identifier": "AS8957304000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5102669",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIC GROUP INS COMMISSION",
            "identifier": "043258935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "043258935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "043258935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "26550",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "650422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEAR PO",
            "identifier": "WORC22004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "MARTIN",
            "prefix": "MS.",
            "credential": "MS-FAAA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.