Individual provider Active NPI

Lynne C Graham O'Brien, AUD, CCC-A

  • Audiologist
  • Allston, MA
National Provider Identifier
1962477653
Registry record updated Apr 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
574 Issued in MA
Practice address
40 Armington St
Allston, MA 02134-2406
Phone
(617) 635-8544
Fax
(617) 635-6697
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 574 MA Primary

Addresses

Primary practice location

40 Armington St
Allston, MA 02134-2406

Mailing address

9 Darling St
Marblehead, MA 01945-3534
Phone (617) 306-3676

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

LicenseStateTypeSpecialty
574MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1962477653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DARLING ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453534",
            "telephone_number": "617-306-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ARMINGTON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342406",
            "telephone_number": "617-635-8544",
            "fax_number": "617-635-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM O'BRIEN",
        "first_name": "LYNNE",
        "middle_name": "C",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.