Active NPI
Laura Alves Ford, M.S. CCC-A
- Audiologist
- Cleveland, TN
National Provider Identifier
1710135702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1241
- Practice address
- 4220 Ocoee St N Ste 102
Cleveland, TN 37312-4829 - Phone
- (423) 641-0956
- Fax
- (423) 641-0955
- NPI assigned
- Sep 3, 2008
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1241 | TN | Primary |
Addresses
Primary practice location
4220 Ocoee St N Ste 102
Cleveland, TN 37312-4829
Mailing address
2401 N Ocoee St Ste 201
Cleveland, TN 37311-3856
Phone (423) 641-0956
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Specialty Care | Current | Accepting new patients | |
| Lifestyle Hearing Corporation USA Inc | Audiologist | Past | Accepting new patients |
Locations
406 Taylor St
Ste B
Scottsboro, AL 35768
Phone (256) 574-6100
Organizations & group practices 2
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
- Fort Payne, AL
- NPI 1972366854
-
- Audiologist-Hearing Aid Fitter
- Palm Beach Gardens, FL
- NPI 1316338346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1710135702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 N OCOEE ST STE 201",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113856",
"telephone_number": "423-641-0956",
"fax_number": "423-641-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 OCOEE ST N STE 102",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373124829",
"telephone_number": "423-641-0956",
"fax_number": "423-641-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "LAURA",
"middle_name": "ALVES",
"credential": "M.S. CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.