Individual provider Active NPI

Laura Alves Ford, M.S. CCC-A

  • Audiologist
  • Cleveland, TN
National Provider Identifier
1710135702
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1241 Issued in TN
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

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Dekalb Specialty Care CurrentSince Feb 17, 2025 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.

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.

Verify at the official NPI Registry.