Individual provider Active NPI

Royce Renault Lamarr, NBC-HIS

  • Hearing Instrument Specialist
  • Farmington, MO
National Provider Identifier
1568515559
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
981 Issued in MO
Practice address
202 W Columbia St
Farmington, MO 63640-1705
Phone
(573) 756-0555
Fax
(573) 756-0556
NPI assigned
Jan 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 981 MO Primary
Hearing Instrument Specialist 237700000X 1696 IL

Addresses

Primary practice location

202 W Columbia St
Farmington, MO 63640-1705

Mailing address

233 Moulin Rouge Dr
Bonne Terre, MO 63628-9224
Phone (573) 756-0555

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1696ILMDHearing Instrument Specialist
981MOMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1568515559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MOULIN ROUGE DR",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636289224",
            "telephone_number": "573-756-0555",
            "fax_number": "573-756-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W COLUMBIA ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401705",
            "telephone_number": "573-756-0555",
            "fax_number": "573-756-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARR",
        "first_name": "ROYCE",
        "middle_name": "RENAULT",
        "name_prefix": "Mr.",
        "credential": "NBC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "981",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "1696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.