Active NPI
Katelin Van Lanen, AU.D.
- Audiologist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 293168
- Practice address
- 1720 Nicholasville Rd Ste 501
Lexington, KY 40503-1487 - Phone
- (859) 977-1178
- NPI assigned
- Jul 18, 2024
- 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 | 293168 | KY | Primary |
Addresses
Primary practice location
1720 Nicholasville Rd Ste 501
Lexington, KY 40503-1487
Mailing address
1221 S Broadway
Lexington, KY 40504-2771
Phone (859) 258-6200
Other practice location 1
230 Fountain Ct Ste 230
Lexington, KY 40509-1897
Phone (859) 977-5335
Other practice location 2
1012 Ival James Blvd Ste B
Richmond, KY 40475-8278
Phone (859) 624-3615
Other practice location 3
1138 Lexington Rd Ste 290
Georgetown, KY 40324-9672
Phone (859) 278-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101000520 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 Nicholasville Rd
Lexington, KY 40503-1404
Phone (859) 278-1114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293168 | KY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| New Lexington Clinic PSC | Current | Accepting new patients |
Locations
1138 Lexington Rd
Ste 290
Georgetown, KY 40324
Phone (502) 542-9118
200 Bevins Ln
Ste A
Georgetown, KY 40324
Phone (502) 863-0722
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
1720 Nicholasville Rd
Lexington, KY 40503
Phone (859) 277-2211
230 Fountain Ct
Ste 230
Lexington, KY 40509
Phone (859) 977-5335
1720 Nicholasville Rd
Ste 501
Lexington, KY 40503
Phone (859) 258-8731
1012 Ival James Blvd
Ste B
Richmond, KY 40475
Phone (859) 624-3615
Interoperability endpoints
- katelin.vanlanen.1@13059.direct.athenahealth.com
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
- Lexington, KY
- NPI 1700803681
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1750129276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042771",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 NICHOLASVILLE RD STE 501",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031487",
"telephone_number": "859-977-1178"
}
],
"practiceLocations": [
{
"address_1": "230 Fountain Ct Ste 230",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405091897",
"country_code": "US",
"telephone_number": "859-977-5335",
"fax_number": "859-977-5340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Ival James Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404758278",
"country_code": "US",
"telephone_number": "859-624-3615",
"fax_number": "859-624-2103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1138 Lexington Rd Ste 290",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249672",
"country_code": "US",
"telephone_number": "859-278-1114",
"fax_number": "859-277-0541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN LANEN",
"first_name": "KATELIN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "293168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101000520",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.