Active NPI
Jodi L. Lancaster, MA CCCA
- Audiologist
- Akron, OH
National Provider Identifier
1518952191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A00759
- Practice address
- 157 W Cedar St
Ste 106
Akron, OH 44307-2564 - Phone
- (330) 376-1221
- Fax
- (330) 376-3953
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A00759 | OH | Primary |
Addresses
Primary practice location
157 W Cedar St
Ste 106
Akron, OH 44307-2564
Mailing address
157 W Cedar St
Ste 106
Akron, OH 44307-2551
Phone (330) 376-1221
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-00027 | Other | OH | UNITED HEALTHCARE |
| 341713667027 | Other | OH | CARESOURCE |
| 61248 | Other | OH | QUALCHOICE |
| 0883441 | Medicaid | OH | |
| 000000137222 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00759 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Inc | Past | Accepting new patients |
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": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518952191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 W CEDAR ST",
"address_2": "STE 106",
"city": "AKRON",
"state": "OH",
"postal_code": "443072551",
"telephone_number": "330-376-1221",
"fax_number": "330-376-3953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 W CEDAR ST",
"address_2": "STE 106",
"city": "AKRON",
"state": "OH",
"postal_code": "443072564",
"telephone_number": "330-376-1221",
"fax_number": "330-376-3953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "JODI",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "MA CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A00759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "45-00027",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341713667027",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "61248",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0883441",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000137222",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.