Individual provider Active NPI

Lesley J. Ericsson, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Sarasota, FL
National Provider Identifier
1780852103
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AY147 Issued in FL
Practice address
4046 Cattlemen Rd
Sarasota, FL 34233-5033
Phone
(941) 342-9228
Fax
(941) 342-1301
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AY147 FL Primary

Addresses

Primary practice location

4046 Cattlemen Rd
Sarasota, FL 34233-5033

Mailing address

4046 Cattlemen Rd
Sarasota, FL 34233-5033
Phone (941) 342-9228

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

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1780852103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 CATTLEMEN RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335033",
            "telephone_number": "941-342-9228",
            "fax_number": "941-342-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 CATTLEMEN RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335033",
            "telephone_number": "941-342-9228",
            "fax_number": "941-342-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSSON",
        "first_name": "LESLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.