Holly L Lantz, AU.D., F-AAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-0192 Issued in WV

Practice address

37 Garton PLZ
Weston, WV 26452-2128

Phone

(304) 269-2435

Fax

(304) 269-2435

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• HLL Enterprise LLC

  • Audiologist
  • Weston, WV
  • NPI 1285374223
  Medicare reassignment NPD Authorized official
• Clarksburg Audiology and Hearing Aid Center LLC

  • Audiologist-Hearing Aid Fitter
  • Clarksburg, WV
  • NPI 1558507863
  NPD (past)
• Industrial Hearing Conservation Association

  • Specialist
  • Fairmont, WV
  • NPI 1891857819
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1619040359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1291",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521291",
            "telephone_number": "304-269-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-269-2435",
            "fax_number": "304-269-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "HOLLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D., F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403010000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Kozlowski, MOT
• Kroger Limited Partnership I
• Donna B Lake, MS, CCC-SLP
• Andrew B Lamkin
• Brenda Sue Lamkin
• Tamela Jo Lantz
• Kasie Larsen
• Wahneta Lattea
• Paul Lattimer, DC
• Mary Marie Leigh

• Audiologist in Weston, WV
• Providers in Weston, WV by specialty
• Audiologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.