Individual provider Active NPI

Lynn Callaway, BC-HIS

  • Hearing Instrument Specialist
  • Green Valley, AZ
National Provider Identifier
1962795914
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADR10081 Issued in AZ
Practice address
170 N la Canada Dr Ste 90
Green Valley, AZ 85614-3100
Phone
(520) 399-3220
NPI assigned
May 24, 2011
Last updated
May 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA7225 CA
Hearing Instrument Specialist 237700000X HADR10081 AZ Primary

Addresses

Primary practice location

170 N la Canada Dr Ste 90
Green Valley, AZ 85614-3100

Mailing address

170 N la Canada Dr Ste 90
Green Valley, AZ 85614-3100
Phone (520) 399-3220

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
HADR10081AZMDHearing Instrument Specialist
HA7225CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Physician Services LLC Past Accepting new patients
Lynn Callaway, LLC Hearing Instrument Specialist PastSince Jul 24, 2022 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, 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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1962795914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N LA CANADA DR STE 90",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143100",
            "telephone_number": "520-399-3220",
            "fax_number": "520-399-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N LA CANADA DR STE 90",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143100",
            "telephone_number": "520-399-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "LYNN",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7225",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HADR10081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.