Individual provider Active NPI

Leeann Berger, AUD

  • Audiologist
  • Jasper, IN
National Provider Identifier
1942515606
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002482A Issued in IN
Practice address
671 3Rd Ave
A2
Jasper, IN 47546-3652
Phone
(812) 630-6716
NPI assigned
Aug 18, 2010
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002482A IN Primary

Addresses

Primary practice location

671 3Rd Ave
A2
Jasper, IN 47546-3652

Mailing address

671 3Rd Ave
A2
Jasper, IN 47546-3652
Phone (812) 630-6716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606001522 IN Practitioner - Qualified Audiologist 2365689676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

671 3Rd Ave
A2
Jasper, IN 47546-3652
Phone (812) 482-9444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23002482AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Doctor LLC Audiologist CurrentSince Feb 11, 2014 Accepting new patients
Midwest Ear Nose and Throat Surgery, PSC PastSince Oct 29, 2023 Accepting new patients

Locations

671 3rd Ave
Ste 2A
Jasper, IN 47546
Phone (812) 482-9444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1942515606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 3RD AVE",
            "address_2": "A2",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463652",
            "telephone_number": "812-630-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 3RD AVE",
            "address_2": "A2",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463652",
            "telephone_number": "812-630-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "LEEANN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002482A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.