Active NPI
Lauren Joann Clinton, AU. D.
- Audiologist
- Salem, OR
National Provider Identifier
1891721734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 22745
- Practice address
- 2611 Pringle Rd SE
Salem, OR 97302-1533 - Phone
- (503) 385-4582
- Fax
- (503) 540-4473
- NPI assigned
- Jun 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 22745 | OR | Primary |
Addresses
Primary practice location
2611 Pringle Rd SE
Salem, OR 97302-1533
Mailing address
2611 Pringle Rd SE
Salem, OR 97302-1533
Phone (503) 385-4582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027736 | Medicaid | OR |
Other names 1
- Lauren Joann Smith
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 |
|---|---|---|---|
| 22745 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Audiology Clinic, Inc | Audiologist | Past | Accepting new patients |
| MLM USA LLC | Audiologist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1891721734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 PRINGLE RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973021533",
"telephone_number": "503-385-4582",
"fax_number": "503-540-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 PRINGLE RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973021533",
"telephone_number": "503-385-4582",
"fax_number": "503-540-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINTON",
"first_name": "LAUREN",
"middle_name": "JOANN",
"credential": "AU. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "22745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027736",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "SMITH",
"middle_name": "JOANN",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.