Individual provider Active NPI

Lee Ann B Horvat, AUDIOLOGIST

  • Audiologist
  • Fort George G Meade, MD
National Provider Identifier
1881847481
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01174 Issued in MD
Practice address
2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081
Phone
(301) 677-8140
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01174 MD Primary

Addresses

Primary practice location

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081

Mailing address

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081
Phone (301) 677-8140

Other identifiers 1

IdentifierTypeStateIssuer
01174OtherMDAUDIOLOGY STATE LICENSE

Other names 1

  • Ms. Lee Ann E Boyd Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01174MDMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1881847481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORVAT",
        "first_name": "LEE ANN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY STATE LICENSE",
            "identifier": "01174",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE ANN",
            "last_name": "BOYD",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "AUDIOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort George G Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.