Active NPI
Patricia Ann Lavelle, AUD
- Audiologist
- Somerville, MA
National Provider Identifier
1891285961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 27 Ibbetson St
Somerville, MA 02143-2403 - Phone
- (718) 916-9597
- NPI assigned
- May 15, 2018
- 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 | Primary |
Addresses
Primary practice location
27 Ibbetson St
Somerville, MA 02143-2403
Mailing address
27 Ibbetson St
Somerville, MA 02143-2403
Phone (718) 916-9597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4729 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Locations
101 Middlesex Tpke
Burlington, MA 01803
Phone (781) 270-9800
7 Essex Green Dr
Ste 2
Peabody, MA 01960
Phone (978) 532-6650
500 Congress St
Ste 2J
Quincy, MA 02169
Phone (617) 479-7503
Organizations & group practices 2
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-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1891285961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 IBBETSON ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432403",
"telephone_number": "718-916-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 IBBETSON ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432403",
"telephone_number": "718-916-9597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVELLE",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.