Individual provider Active NPI

Lorraine Klein Gardner, AU.D.

  • Audiologist
  • Richmond, VA
National Provider Identifier
1518176619
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000125 Issued in VA
Practice address
6722 Patterson Ave Ste a
Richmond, VA 23226-3400
Phone
(804) 282-5590
Fax
(804) 282-5593
NPI assigned
May 22, 2007
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201000125 VA Primary

Addresses

Primary practice location

6722 Patterson Ave Ste a
Richmond, VA 23226-3400

Mailing address

6722 Patterson Ave Ste a
Richmond, VA 23226-3400
Phone (804) 282-5590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000187 VA Practitioner - Qualified Audiologist 6204010101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6722 Patterson Ave
Suite a
Richmond, VA 23226-3400
Phone (804) 282-5590

6722 Patterson Ave a
Richmond, VA 23226-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201000125VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Virginia LLC Audiologist CurrentSince Feb 26, 2011 Accepting new patients

Locations

4922 W Broad St
Richmond, VA 23230
Phone (804) 282-5590

6722 Patterson Ave
Ste A
Richmond, VA 23226
Phone (804) 282-5590

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1518176619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 PATTERSON AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263400",
            "telephone_number": "804-282-5590",
            "fax_number": "804-282-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 PATTERSON AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263400",
            "telephone_number": "804-282-5590",
            "fax_number": "804-282-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LORRAINE",
        "middle_name": "KLEIN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.