Alyson Butler Lake, AU-D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001518 Issued in VA

Practice address

15243 Forest Rd Ste D
Forest, VA 24551-4974

Phone

(434) 266-9898

Fax

(434) 266-9848

NPI assigned

Sep 5, 2014

Last updated

Dec 5, 2024By the provider in NPPES

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

• Miss Alyson Kathleen Butler Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Audiology IncGroup PAC ID 4486015203, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Audiology Inc

  dba Forest Audiology

  • Audiologist-Hearing Aid Fitter
  • Forest, VA
  • NPI 1093415515
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1669873931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 FOREST RD STE D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514974",
            "telephone_number": "434-266-9898",
            "fax_number": "434-266-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 FOREST RD STE D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514974",
            "telephone_number": "434-266-9898",
            "fax_number": "434-266-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ALYSON",
        "middle_name": "BUTLER",
        "name_prefix": "Mrs.",
        "credential": "AU-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001518",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101002089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "BUTLER",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Edward Kosiba, DPT
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kristen Kuk, MD
• Kyle W. Wheeler, DDS, PC
• Lake Audiology Inc (Forest Audiology)
• Thomas Lamartina, RPH
• Charles Riley Latham, D.O.
• Haley Latta
• Francesca Lattanzi, PA
• Sarah Anna Lawson, CNM

• Audiologist in Forest, VA
• Providers in Forest, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.