Individual provider Active NPI

Katelin Van Lanen, AU.D.

  • Audiologist
  • Lexington, KY
National Provider Identifier
1750129276
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
293168 Issued in KY
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

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7101000520MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822003888 KY Practitioner - Qualified Audiologist 1153860044 Reassigns benefits to 1 organization

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
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

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

LicenseStateTypeSpecialty
293168KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC CurrentSince Aug 26, 2024 Accepting new patients
New Lexington Clinic PSC CurrentSince Aug 26, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.