Individual provider Active NPI

Leslie Simoneaux Domma, AU.D.

  • Audiologist
  • Baton Rouge, LA
National Provider Identifier
1932360377
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4136 Issued in LA
Practice address
7952 Goodwood Blvd
Baton Rouge, LA 70806-7629
Phone
(225) 972-7011
Fax
(225) 927-7910
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4136 LA Primary

Addresses

Primary practice location

7952 Goodwood Blvd
Baton Rouge, LA 70806-7629

Mailing address

7952 Goodwood Blvd
Baton Rouge, LA 70806-7629
Phone (225) 972-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000227 LA Practitioner - Qualified Audiologist 8325115553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4136LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Acl Hearing LLC Audiologist Current Accepting new patients
Acl Hearing & Balance, Inc. PastSince Jan 1, 2007 Accepting new patients

Locations

7952 Goodwood Blvd
Baton Rouge, LA 70806
Phone (225) 252-9332

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1932360377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7952 GOODWOOD BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067629",
            "telephone_number": "225-972-7011",
            "fax_number": "225-927-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7952 GOODWOOD BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067629",
            "telephone_number": "225-972-7011",
            "fax_number": "225-927-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMMA",
        "first_name": "LESLIE",
        "middle_name": "SIMONEAUX",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.