Active NPI
Donna M Lavallee, AUD
- Audiologist
- Amherst, NY
National Provider Identifier
1841263902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000942-1
- Practice address
- 4600 Main St
Suite 201
Amherst, NY 14226-4500 - Phone
- (716) 833-4488
- Fax
- (716) 839-1218
- NPI assigned
- Feb 9, 2006
- 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 | 000942-1 | NY | Primary |
Addresses
Primary practice location
4600 Main St
Suite 201
Amherst, NY 14226-4500
Mailing address
4600 Main St
Suite 201
Amherst, NY 14226-4500
Phone (716) 833-4488
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011176701 | Other | NY | UNIVERA |
| 000580000005 | Other | NY | BC/BS - HEARING AID - OP |
| 000580000003 | Other | NY | BC/BS - HEARING AID - H |
| 9200301 | Other | NY | IHA |
| 00576026001 | Other | NY | BC/BS - AUDIOLOGIST - H |
| 000576026005 | Other | NY | BC/BS - AUDIOLOGIST - OP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4600 Main St
Suite 201
Amherst, NY 14226-4500
Phone (716) 833-4488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000942-1 | NY | MD | Audiologist |
| 000942 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Evaluation Services of Buffalo, Inc. | Audiologist | Current | Accepting new patients |
| Life Sounds Audiology, Inc | Current | Accepting new patients | |
| Hearing & Speech Center of Wny | Audiologist | Past | Accepting new patients |
Locations
4600 Main St
Ste 201
Snyder, NY 14226
Phone (716) 650-5088
2545 Sheridan Dr
Ste 6
Tonawanda, NY 14150
Phone (716) 833-4884
Organizations & group practices 3
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
- Amherst, NY
- NPI 1508839663
-
- Audiology Assistant
- Amherst, NY
- NPI 1568099596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1841263902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MAIN ST",
"address_2": "SUITE 201",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264500",
"telephone_number": "716-833-4488",
"fax_number": "716-839-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MAIN ST",
"address_2": "SUITE 201",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264500",
"telephone_number": "716-833-4488",
"fax_number": "716-839-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALLEE",
"first_name": "DONNA",
"middle_name": "M",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000942-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011176701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS - HEARING AID - OP",
"identifier": "000580000005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS - HEARING AID - H",
"identifier": "000580000003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9200301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS - AUDIOLOGIST - H",
"identifier": "00576026001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS - AUDIOLOGIST - OP",
"identifier": "000576026005",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.