Organization Active NPI

Laura O. Robertson Audiology Specialists, LLC

  • Audiologist
  • Laconia, NH
National Provider Identifier
1659715704
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A315 Issued in NH
Legal business name
LAURA O. ROBERTSON AUDIOLOGY SPECIALISTS, LLC
Practice address
211 S Main St
Laconia, NH 03246-3718
Phone
(603) 528-7700
Fax
(603) 528-9623
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Dr. Laura O Robertson, AU.D.NPI 1598768558
Title
Manager
Phone
(603) 528-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X A315 NH Primary

Addresses

Primary practice location

211 S Main St
Laconia, NH 03246-3718

Mailing address

211 S Main St
Laconia, NH 03246-3718
Phone (603) 528-7700

Other identifiers 1

IdentifierTypeStateIssuer
010664OtherNHTPAP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130925000868 NH Part B Supplier - Clinic/Group Practice 5991949398 Receives reassigned benefits from 1 practitioner
Practice locations: Laconia, NH

National Provider Directory

National Provider Directory

Locations

211 S Main St
Laconia, NH 03246
Phone (603) 528-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1659715704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463718",
            "telephone_number": "603-528-7700",
            "fax_number": "603-528-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463718",
            "telephone_number": "603-528-7700",
            "fax_number": "603-528-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA O. ROBERTSON AUDIOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-528-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPAP NUMBER",
            "identifier": "010664",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.