Lisa White Ledbury, HIS.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5311 Issued in FL

Practice address

200 CBL Dr. Ste. 104
St. Augustine, FL 32086-5174

Phone

(904) 429-7513

Fax

(904) 429-7504

NPI assigned

Oct 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Connect Hearing, Inc.

  • Hearing Aid Equipment
  • Orange Park, FL
  • NPI 1861745226

  Hearing Instrument Specialist

  NPD (past)
• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD (past)
• Connect Hearing Inc

  • Hearing Aid Equipment
  • Aurora, IL
  • NPI 1265700942

  Hearing Instrument Specialist

  NPD (past)
• Hearx West, LLC

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1356398598
  NPD (past)

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1578075594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CBL DR. STE. 104",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320865174",
            "telephone_number": "904-429-7513",
            "fax_number": "904-429-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBURY",
        "first_name": "LISA",
        "middle_name": "WHITE",
        "credential": "HIS.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101002796",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WHITE",
            "credential": "HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tymber Sloane Leavitt
• Thomas Anthony Lebeau, D.P.M.
• Rachel Lechwar
• Mary Leckey
• Lauren Ledbetter
• Taylor Lee-Wambolt
• Anthony Lee, DMD
• Ki Bum Lee
• Patrick Leffers, PHARMD
• Legacy Comfort Care LLC

• Hearing Instrument Specialist in St. Augustine, FL
• Providers in St. Augustine, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.