NPIMap

Organization Active NPI

Bluegrass Hearing Clinic, LLC

  • Assistive Technology Practitioner Audiologist
  • Richmond, KY
National Provider Identifier
1942489976
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
Legal business name
BLUEGRASS HEARING CLINIC, LLC
Practice address
116 Meridian Way Ste 1
Richmond, KY 40475-2876
Phone
(859) 623-4458
Fax
(859) 623-4459
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Sherry McCall Lanter
Title
Owner/Ceo
Phone
(859) 987-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231HA2400X Primary

Addresses

Primary practice location

116 Meridian Way Ste 1
Richmond, KY 40475-2876

Mailing address

116 Meridian Way Ste 1
Richmond, KY 40475-2876
Phone (859) 623-4458

Other identifiers 2

IdentifierTypeStateIssuer
000000041650OtherKYANTHEM
70006507MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130916000304 KY Part B Supplier - Clinic/Group Practice 2961646864 Receives reassigned benefits from 11 practitioners
Practice locations: Richmond, KY; Somerset, KY; Paris, KY; Nicholasville, KY; Mount Sterling, KY; Lexington, KY; Frankfort, KY; Elizabethtown, KY…

National Provider Directory

National Provider Directory
Tax ID family
Bluegrass Hearing Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 W Stephen Foster Ave
Ste 3
Bardstown, KY 40004
Phone (502) 331-6270

2900 Dolphin Dr
Elizabethtown, KY 42701

2411 Ring Rd
Elizabethtown, KY 42701

2900 Dolphin Dr
Ste 102
Elizabethtown, KY 42701
Phone (800) 470-4757

103 Diagnostic Dr
Ste A
Frankfort, KY 40601
Phone (502) 352-2468

201 Champion Way
Ste 1
Georgetown, KY 40324
Phone (502) 863-2020

213 Evans Ave
Mount Sterling, KY 40353

100 John Sutherland Dr
Ste 4
Nicholasville, KY 40356
Phone (859) 885-0150

211 S Main St
Somerset, KY 42501
Phone (606) 492-2009

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1942489976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MERIDIAN WAY STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752876",
            "telephone_number": "859-623-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MERIDIAN WAY STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752876",
            "telephone_number": "859-623-4458",
            "fax_number": "859-623-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS HEARING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "LANTER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "MCCALL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "859-987-3272"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000041650",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70006507",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.