Individual provider Active NPI

Lianna Stover, HIS

  • Hearing Instrument Specialist
  • Farmington, MO
National Provider Identifier
1689322679
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2022009349 Issued in MO
Practice address
620 Walton Dr
Farmington, MO 63640-1935
Phone
(573) 756-0500
Fax
(573) 756-0505
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2022009349 MO Primary

Addresses

Primary practice location

620 Walton Dr
Farmington, MO 63640-1935

Mailing address

620 Walton Dr
Farmington, MO 63640-1935
Phone (573) 756-0500

Other practice location 1

753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 756-0500

Other practice location 2

1185 Scenic Dr Ste 157
Herculaneum, MO 63048-1433
Phone (573) 756-0500

Other identifiers 1

IdentifierTypeStateIssuer
2022009349OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2022009349MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology & Hearing Center of Farmington, Inc PastSince Dec 7, 2017 Accepting new patients

Organizations & group practices 1

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1689322679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WALTON DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401935",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WALTON DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401935",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "753 Pointe Basse Dr",
            "address_purpose": "LOCATION",
            "city": "Ste Genevieve",
            "state": "MO",
            "postal_code": "636701820",
            "country_code": "US",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1185 Scenic Dr Ste 157",
            "address_purpose": "LOCATION",
            "city": "Herculaneum",
            "state": "MO",
            "postal_code": "630481433",
            "country_code": "US",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVER",
        "first_name": "LIANNA",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2022009349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2022009349",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.