Active NPI
Karon B Lynn, AUD
- Audiologist
- Flagstaff, AZ
National Provider Identifier
1821134388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA1156
- Practice address
- 1330 N Rim Dr
Suite B
Flagstaff, AZ 86001-3134 - Phone
- (928) 522-0500
- Fax
- (855) 433-1122
- NPI assigned
- Jan 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA1156 | AZ | Primary |
Addresses
Primary practice location
1330 N Rim Dr
Suite B
Flagstaff, AZ 86001-3134
Mailing address
2700 S Woodlands Village Blvd
Suite 300-409
Flagstaff, AZ 86001-7114
Phone (928) 522-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA1156 | Other | AZ | AUDIOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1330 N Rim Dr
Suite B
Flagstaff, AZ 86001-3138
Phone (928) 522-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA1156 | AZ | MD | Audiologist |
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.
-
- Audiologist
- Flagstaff, AZ
- NPI 1770857781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1821134388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 S WOODLANDS VILLAGE BLVD",
"address_2": "SUITE 300-409",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017114",
"telephone_number": "928-522-0500",
"fax_number": "855-433-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 N RIM DR",
"address_2": "SUITE B",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013134",
"telephone_number": "928-522-0500",
"fax_number": "855-433-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "KARON",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA1156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY LICENSE",
"identifier": "DA1156",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.