Active NPI
Lori Ann Isely, AUDIOLOGIST
- Audiologist
- Altus, OK
National Provider Identifier
1518990225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 338
- Practice address
- 1200 E Pecan
Altus, OK 73521 - Phone
- (580) 482-4781
- Fax
- (580) 481-2345
- NPI assigned
- Jul 8, 2006
- 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 | 338 | OK | Primary |
Addresses
Primary practice location
1200 E Pecan
Altus, OK 73521
Mailing address
1200 E Pecan
PO Box 8190
Altus, OK 73522-8190
Phone (580) 482-4781
Other names 1
- Lori Ann Pennartz
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | 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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518990225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E PECAN",
"address_2": "PO BOX 8190",
"city": "ALTUS",
"state": "OK",
"postal_code": "735228190",
"telephone_number": "580-482-4781",
"fax_number": "580-481-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PECAN",
"city": "ALTUS",
"state": "OK",
"postal_code": "73521",
"telephone_number": "580-482-4781",
"fax_number": "580-481-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISELY",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "PENNARTZ",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Altus, OK
- David M Huey, OD
- Kim A Hukill, MS, LPC CANIDATE
- Martin R Hullender Jr., M.D.
- Teresa Sheerilee Hurst, CCC-SLP
- Alice Darlene Irby, M. EDUC.
- Kathy L Ishcomer, LMSW
- Jackson County Emergency Medical Service District
- Jackson County Memorial Hosp Phcy
- Jackson County Memorial Hospital Authority
- Jackson County Memorial Hospital Authority
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.