Active NPI
Lorelei April Karcz Vincent, AU.D.
- Audiologist-Hearing Aid Fitter
- Lake Mary, FL
National Provider Identifier
1811176258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 473-156
- Practice address
- 1301 S International Pkwy
Lake Mary, FL 32746-1409 - Phone
- (407) 774-9880
- NPI assigned
- Nov 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AY2754 | FL | |
| Audiologist-Hearing Aid Fitter | 237600000X | 473-156 | WI | Primary |
Addresses
Primary practice location
1301 S International Pkwy
Lake Mary, FL 32746-1409
Mailing address
15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41150800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 473-156 | WI | MD | Audiologist-Hearing Aid Fitter |
| 7580 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Ear Nose & Throat PA | Current | Accepting new patients |
Locations
1431 Orange Camp Rd
Ste 112
Deland, FL 32724
Phone (386) 774-9880
1301 S International Pkwy
Ste 2011
Lake Mary, FL 32746
Phone (407) 767-8554
963 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 774-9880
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Orange City, FL
- NPI 1710932405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1811176258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15280 NW 79TH CT STE 200",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165873",
"telephone_number": "305-558-3724",
"fax_number": "786-907-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S INTERNATIONAL PKWY",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461409",
"telephone_number": "407-774-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARCZ VINCENT",
"first_name": "LORELEI",
"middle_name": "APRIL",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-02",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AY2754",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": "473-156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41150800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.