Individual provider Active NPI

Anna Daggett, AU.D.

  • Audiologist
  • Lancaster, OH
National Provider Identifier
1811015001
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-01335 Issued in OH
Practice address
1303 River Valley Blvd Ste B
Lancaster, OH 43130-1669
Phone
(740) 654-3571
Fax
(740) 689-3277
NPI assigned
Mar 26, 2007
Last updated
Apr 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01335 OH Primary

Addresses

Primary practice location

1303 River Valley Blvd Ste B
Lancaster, OH 43130-1669

Mailing address

1303 River Valley Blvd Ste B
Lancaster, OH 43130-1669
Phone (740) 654-3571

Other identifiers 1

IdentifierTypeStateIssuer
0094740MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000893 OH Practitioner - Qualified Audiologist 5092805606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Associates of Lancaster, L.L.C.Group PAC ID 6709819824, 3 clinicians

Practice addresses (Care Compare)

1303 River Valley Blvd
Suite B
Lancaster, OH 43130-1669
Phone (740) 654-3571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates of Lancaster, L.L.C. Audiologist CurrentSince Nov 11, 2015 Accepting new patients

Locations

1303 River Valley Blvd
Ste B
Lancaster, OH 43130
Phone (740) 654-3571

4850 E Main St
Whitehall, OH 43213
Phone (614) 523-2266

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1811015001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 RIVER VALLEY BLVD STE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301669",
            "telephone_number": "740-654-3571",
            "fax_number": "740-689-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 RIVER VALLEY BLVD STE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301669",
            "telephone_number": "740-654-3571",
            "fax_number": "740-689-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.