Individual provider Active NPI

Lindy Kay Nettleton, M.S.

  • Audiologist
  • Redmond, OR
National Provider Identifier
1679707079
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30869 Issued in OR
Practice address
1020 SW Indian Ave Ste 102
Redmond, OR 97756
Phone
(541) 749-2881
Fax
(541) 385-4935
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 30869 OR Primary

Addresses

Primary practice location

1020 SW Indian Ave Ste 102
Redmond, OR 97756

Mailing address

2450 NE Mary Rose Place, Ste 120
Bend, OR 97701
Phone (541) 312-7056

Other practice location 1

527 NW Fir Ave
Redmond, OR 97756-1550
Phone (541) 548-4245

Other identifiers 1

IdentifierTypeStateIssuer
500717298MedicaidOR

Other names 1

  • Miss Lindy Kay Herzog Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170116000711 OR Practitioner - Qualified Audiologist 8921380551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 SW Indian Ave
Suite 102
Redmond, OR 97756-3037
Phone (541) 382-3100

2450 NE Mary Rose PL
Suite 120
Bend, OR 97701-7132
Phone (541) 382-3100

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
97.23
Improvement activities
40
Cost
78.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30869ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Jun 26, 2018 Accepting new patients

Locations

301 NE Franklin Ave
Bend, OR 97701
Phone (541) 389-6669

527 NW Fir Ave
Redmond, OR 97756
Phone (541) 548-4245

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1679707079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PLACE, STE 120",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-312-7056",
            "fax_number": "541-312-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW INDIAN AVE STE 102",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-749-2881",
            "fax_number": "541-385-4935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 NW Fir Ave",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561550",
            "country_code": "US",
            "telephone_number": "541-548-4245",
            "fax_number": "541-548-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTLETON",
        "first_name": "LINDY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500717298",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDY",
            "last_name": "HERZOG",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "M.S,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.