Individual provider Active NPI

Lauren Kroenlein

  • Audiologist
  • Maryville, TN
National Provider Identifier
1639807480
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2027 Issued in TN
Practice address
275 Cherokee Professional Park
Maryville, TN 37804-5155
Phone
(865) 983-4090
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2027 TN Primary

Addresses

Primary practice location

275 Cherokee Professional Park
Maryville, TN 37804-5155

Mailing address

275 Cherokee Professional Park
Maryville, TN 37804-5155
Phone (865) 983-4090

Other names 1

  • Lauren Wake Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823003459 TN Practitioner - Qualified Audiologist 5294118204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Ear, Nose and Throat Consultants, PCGroup PAC ID 5092763532, 25 clinicians

Practice addresses (Care Compare)

275 Cherokee Professional Park
Maryville, TN 37804-5155
Phone (865) 983-4090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Center of East Tennessee PC CurrentSince Aug 1, 2022 Accepting new patients
Tennessee Ear, Nose & Throat Consultants, PC Audiologist CurrentSince Aug 1, 2022 Accepting new patients

Locations

9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534

Dept 888604
Knoxville, TN 37995

576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534

275 Cherokee Professional Park
Maryville, TN 37804
Phone (865) 983-4090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1639807480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045155",
            "telephone_number": "865-983-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045155",
            "telephone_number": "865-983-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROENLEIN",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WAKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.