Individual provider Active NPI

Laci Kay Le, AUD

  • Audiologist
  • San Antonio, TX
National Provider Identifier
1699337014
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81321 Issued in TX
Practice address
156 W Sunset Rd Ste 200
San Antonio, TX 78209-5760
Phone
(210) 802-4058
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81321 TX Primary

Addresses

Primary practice location

156 W Sunset Rd Ste 200
San Antonio, TX 78209-5760

Mailing address

7403 Wurzbach Rd Apt 408
San Antonio, TX 78229-3843
Phone (618) 978-0630

Other practice location 1

4122 W Innovative Dr
Anthem, AZ 85086-3846
Phone (623) 777-5943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190812002081 AZ Practitioner - Qualified Audiologist 4688901713 Reassigns benefits to 1 organization
I20210414001597 TX Practitioner - Qualified Audiologist 4688901713 Reassigns benefits to 1 organization
I20220504000415 NM Practitioner - Qualified Audiologist 4688901713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Hearing and Balance LLCGroup PAC ID 8921431404, 5 clinicians

Practice addresses (Care Compare)

156 W Sunset Rd
Suite 200
San Antonio, TX 78209-5760
Phone (210) 802-4058

270 E Hunt Hwy
Suite 18
San Tan Valley, AZ 85143-4964
Phone (480) 535-6422

6709 Academy Rd NE
Suite B
Albuquerque, NM 87109-3363
Phone (505) 207-7550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Hearing and Balance, LLC. Audiologist CurrentSince Mar 1, 2021 Accepting new patients

Locations

708 E State Highway 260
Ste B
Payson, AZ 85541

270 E Hunt Hwy
Ste 18
San Tan Vly, AZ 85143
Phone (480) 400-5854

6709 Academy Rd NE
Ste B
Albuquerque, NM 87109
Phone (505) 207-7550

3917 West Rd
Ste 200
Los Alamos, NM 87544
Phone (505) 309-0870

602 31st St
Hondo, TX 78861
Phone (210) 692-7228

156 W Sunset Rd
Ste 200
San Antonio, TX 78209
Phone (210) 802-4058

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1699337014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 WURZBACH RD APT 408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293843",
            "telephone_number": "618-978-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W SUNSET RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095760",
            "telephone_number": "210-802-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4122 W Innovative Dr",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863846",
            "country_code": "US",
            "telephone_number": "623-777-5943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "LACI",
        "middle_name": "KAY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.