Active NPI
Lianna Stover, HIS
- Hearing Instrument Specialist
- Farmington, MO
National Provider Identifier
1689322679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2022009349
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022009349 | Other | MO | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022009349 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology & Hearing Center of Farmington, Inc | Past | 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.
-
- Audiologist-Hearing Aid Fitter
- Farmington, MO
- NPI 1124060561
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.