Active NPI
Kimberly H Lawless, AU.D.
- Audiologist-Hearing Aid Fitter
- Campbellsville, KY
National Provider Identifier
1841279908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 279
- Practice address
- 105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9615 - Phone
- (270) 465-3595
- Fax
- (859) 259-4063
- NPI assigned
- Jan 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 117 | KY | |
| Audiologist-Hearing Aid Fitter | 237600000X | 279 | KY | Primary |
Addresses
Primary practice location
105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9615
Mailing address
105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9615
Phone (270) 465-3595
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000050374 | Other | KY | ANTHEM |
| 1189065 | Other | UNITED HEALTHCARE | |
| 5000-2799 | Medicaid | KY | |
| 7000117700 | Medicaid | KY | |
| 000001189065 | Other | CHA | |
| 5090-0000 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117 | KY | MD | Podiatrist |
| 279 | KY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ewing-Ear, Nose & Throat | Past | Accepting new patients |
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
- Campbellsville, KY
- NPI 1467502534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1841279908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 GREENBRIAR DR",
"address_2": "SUITE A",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189615",
"telephone_number": "270-465-3595",
"fax_number": "859-259-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GREENBRIAR DR",
"address_2": "SUITE A",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189615",
"telephone_number": "270-465-3595",
"fax_number": "859-259-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLESS",
"first_name": "KIMBERLY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "117",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KY",
"license": "279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000050374",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1189065",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5000-2799",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000117700",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "000001189065",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5090-0000",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.