Elaine M Lake, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2268 Issued in KS

Practice address

6650 W 110TH St Ste 330
Overland Park, KS 66211-1501

Phone

(913) 521-9090

Fax

(913) 521-9955

NPI assigned

May 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Elaine M Lake Professional name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hearing and Balance Specialists of Kansas City LLCGroup PAC ID 0840575650, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearing and Balance Specialists of Kansas City LLC

  • Audiologist
  • Lee's Summit, MO
  • NPI 1548705676

  KS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1740627629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111501",
            "telephone_number": "913-521-9090",
            "fax_number": "913-521-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111501",
            "telephone_number": "913-521-9090",
            "fax_number": "913-521-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 NE 291 Hwy",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640862501",
            "country_code": "US",
            "telephone_number": "816-507-8885",
            "fax_number": "816-533-4344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ELAINE",
        "middle_name": "M",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2014031706",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "1639",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "LAKE",
            "middle_name": "M",
            "credential": "AU.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel L Lahue, OTR/L, CHT
• Matthew Xavier Laing
• Caleb Charles Laird, DPT
• Lane Stanton Laird, LCP
• Angela L Lake, LPC
• Winnie Lam, DDS
• Hailey Ann Lamaestra, PA-C
• Lamar Court Assisted Living
• Lamar Opco LLC (The Preserve at Town Center)
• Jonathan Watson Lamb, MD

• Audiologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Audiologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.