Active NPI
Andrea Lamendola Thompson, AUD.,CCC-A
- Audiologist
- Mobile, AL
National Provider Identifier
1548460116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AL 970-A
- Practice address
- 610 Providence Park Dr E
BLDG. 2 Suite 202
Mobile, AL 36695-4622 - Phone
- (251) 633-2667
- Fax
- (251) 633-2179
- NPI assigned
- Jul 23, 2007
- Last updated
- Nov 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AL 970-A | AL | |
| Audiologist | 231H00000X | AL 970-A | AL | Primary |
Addresses
Primary practice location
610 Providence Park Dr E
BLDG. 2 Suite 202
Mobile, AL 36695-4622
Mailing address
610 Providence Park Dr E
BLDG. 2 Suite 202
Mobile, AL 36695-4622
Phone (251) 633-2667
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 |
|---|---|---|---|
| AL 970-A | AL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1548460116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 PROVIDENCE PARK DR E",
"address_2": "BLDG. 2 SUITE 202",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954622",
"telephone_number": "251-633-2667",
"fax_number": "251-633-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 PROVIDENCE PARK DR E",
"address_2": "BLDG. 2 SUITE 202",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954622",
"telephone_number": "251-633-2667",
"fax_number": "251-633-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ANDREA",
"middle_name": "LAMENDOLA",
"name_prefix": "Mrs.",
"credential": "AUD.,CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AL",
"license": "AL 970-A",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "AL 970-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.