Active NPI
Lauren Marie Pontis, AUD
- Audiologist-Hearing Aid Fitter
- Longmont, CO
National Provider Identifier
1578085270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AUD.0001057
- Practice address
- 2116 Calais Dr
Longmont, CO 80504-1720 - Phone
- (719) 649-7077
- NPI assigned
- Jul 13, 2017
- 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 | 231H00000X | LD60772527 | WA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AUD.0001057 | CO | Primary |
Addresses
Primary practice location
2116 Calais Dr
Longmont, CO 80504-1720
Mailing address
2116 Calais Dr
Longmont, CO 80504-1720
Phone (719) 649-7077
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 |
|---|---|---|---|
| AUD.0001057 | CO | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1578085270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 CALAIS DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805041720",
"telephone_number": "719-649-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 CALAIS DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805041720",
"telephone_number": "719-649-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTIS",
"first_name": "LAUREN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60772527",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CO",
"license": "AUD.0001057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.