Lata A Krishnan, MS

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002209A Issued in IN

Practice address

500 Oval Drive
1353 Heavilon Hall
West Lafayette, IN 47907-2038

Phone

(765) 494-6842

Fax

(765) 494-0771

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Trustees of Purdue University

  • Hearing and Speech Clinic/Center
  • West Lafayette, IN
  • NPI 1619055712
  Medicare reassignment NPD
• Trustees of Purdue University

  • Federally Qualified Health Center (FQHC)
  • Wolcott, IN
  • NPI 1598111791
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891709283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STADIUM MALL DRIVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072052",
            "telephone_number": "765-496-1927",
            "fax_number": "765-496-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OVAL DRIVE",
            "address_2": "1353 HEAVILON HALL",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072038",
            "telephone_number": "765-494-6842",
            "fax_number": "765-494-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "LATA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002209A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Komisarcik
• Laura L Korty
• Avery Koski
• Hollie Kouns
• Oyebola Koya, D.D.S
• Kroger Limited Partnership I
• Kailyn Kristine Kroll, NREMT
• Mark Durham Kroll, LSW
• Anne Marie Kubat, M.S., CCC-SLP
• Kurtis Kuhn, FNP-C

• Audiologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.