Active NPI
Lauren Renken Grusenmeyer, AU.D.
- Audiologist
- Orange, CA
National Provider Identifier
1699344192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA13124
- Practice address
- 1301 W Providence Ave
Orange, CA 92868-3808 - Phone
- (714) 639-4990
- Fax
- (714) 221-0977
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU4012 | CA | |
| Audiologist | 231H00000X | DA13124 | AZ | Primary |
Addresses
Primary practice location
1301 W Providence Ave
Orange, CA 92868-3808
Mailing address
1301 W Providence Ave
Orange, CA 92868-3808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA13124 | AZ | MD | Audiologist |
| AU4012 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson E.N.T. Associates, P.C. | Single Specialty | Current | Accepting new patients |
| Children'S Clinics for Rehabilitative Services | Single Specialty | Current | Accepting new patients |
| Tucson E.N.T. Associates, P.C. | Single Specialty | Current | Accepting new patients |
| Pima County Amphitheater Schools | Past | Accepting new patients |
Locations
6567 E Carondelet Dr
Ste 515
Tucson, AZ 85710
Phone (520) 296-8500
2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600
1358 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 296-8500
2121 N Craycroft Rd
Bldg 5
Tucson, AZ 85712
Phone (520) 296-8500
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1063454346
Single Specialty
-
- Local Education Agency (LEA)
- Tucson, AZ
- NPI 1891864153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1699344192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W PROVIDENCE AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W PROVIDENCE AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683808",
"telephone_number": "714-639-4990",
"fax_number": "714-221-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUSENMEYER",
"first_name": "LAUREN",
"middle_name": "RENKEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "AU4012",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA13124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.