Mercedes Colleen Lide, AUD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A#157 Issued in AR

Practice address

4300 West 7TH Street
Central Arkansas Veterans Healthcare System
Little Rock, AR 72205

Phone

(501) 257-1085

Fax

(501) 257-1086

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mercedes Colleen Welch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1699788927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEST 7TH STREET",
            "address_2": "CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-257-1085",
            "fax_number": "501-257-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDE",
        "first_name": "MERCEDES",
        "middle_name": "COLLEEN",
        "credential": "AUD,  CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A#157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "WELCH",
            "middle_name": "COLLEEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary Li
• Ruizong Li, MD
• Helen T Liapis, MD
• Libcare of Ar
• Avery C Lichty
• Bryan Lieber, M.D.
• Lieblong Eye Center
• Daniel A. Lieblong, D.D.S.
• Justin Lieblong, M.D.
• Pham Hieu Liem, MD

• Audiologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.