Active NPI
Laurie A Daley, CCC-A
- Audiologist
- Worcester, MA
National Provider Identifier
1871575845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 670
- Practice address
- 295 Lincoln St
Worcester, MA 01605-3639 - Phone
- (508) 755-1391
- Fax
- (508) 363-4019
- NPI assigned
- Nov 16, 2005
- 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 | 670 | MA | Primary |
Addresses
Primary practice location
295 Lincoln St
Worcester, MA 01605-3639
Mailing address
295 Lincoln St
Worcester, MA 01605-3639
Phone (508) 755-1391
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034264 | Other | MEDICARE B | |
| 0396834 | Medicaid | MA | |
| P00094869 | Other | RAILROAD MEDICARE | |
| 0396834 | Other | MEDICAID/WELFARE | |
| 7717583 | Other | AETNA/US HEALTHCARE | |
| AD0159 | Other | BLUE CARE ELECT | |
| 042472266039 | Other | TRICARE/CHAMPUS | |
| AA3497 | Other | HARVARD PILGRIM HEALTHCAR | |
| AD0159 | Other | BLUE SHIELD INDEMNITY | |
| AD0159 | Other | BLUE SHIELD HMO BLUE | |
| 54426 | Other | FALLON COMM. HEALTH PLAN |
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 |
|---|---|---|---|
| 670 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| Audiology Affiliates of Hear Better, Inc | Audiologist | Past | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
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
- Worcester, MA
- NPI 1548316011
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1871575845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053639",
"telephone_number": "508-755-1391",
"fax_number": "508-363-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053639",
"telephone_number": "508-755-1391",
"fax_number": "508-363-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "LAURIE",
"middle_name": "A",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "034264",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0396834",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00094869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID/WELFARE",
"identifier": "0396834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "7717583",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "AD0159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "042472266039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA3497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "AD0159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "AD0159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM. HEALTH PLAN",
"identifier": "54426",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.