Individual provider Active NPI

Laura C Mount, AUD., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Boaz, AL
National Provider Identifier
1972660314
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
602 Corley Ave
Boaz, AL 35957-5952
Phone
(256) 571-8450
Fax
(256) 840-4584
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2255 CA
Audiologist-Hearing Aid Fitter 237600000X HA5047 CA
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

602 Corley Ave
Boaz, AL 35957-5952

Mailing address

602 Corley Ave
Boaz, AL 35957-5952
Phone (256) 571-8450

Other practice location 1

10200 Trinity Pkwy Ste 201
Stockton, CA 95219-7288
Phone (209) 952-0483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210421000377 CA Practitioner - Qualified Audiologist 1052357100 Reassigns benefits to 1 organization
Practice locations: Stockton, CA
I20220609002805 NV Practitioner - Qualified Audiologist 1052357100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2255CAMDAudiologist
3483CAMDSpeech-Language Pathologist
HA5047CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Racear LLC Audiologist-Hearing Aid Fitter CurrentSince May 1, 2022 Accepting new patients
Sacramento Ear Nose & Throat Surgical & Medical Group Inc Audiologist CurrentSince Oct 1, 2024 Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford PastSince Dec 1, 2021 Accepting new patients
Racear PastSince Oct 10, 2021 Accepting new patients
San Joaquin Hearing Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

1111 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 736-3399

10200 Trinity Pkwy
Ste 201
Stockton, CA 95219
Phone (209) 952-0483

8935 S Pecos Rd
Ste 21A
Henderson, NV 89074
Phone (702) 456-1110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lmount689372@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1972660314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CORLEY AVE",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575952",
            "telephone_number": "256-571-8450",
            "fax_number": "256-571-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CORLEY AVE",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575952",
            "telephone_number": "256-571-8450",
            "fax_number": "256-840-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 Trinity Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952197288",
            "country_code": "US",
            "telephone_number": "209-952-0483",
            "fax_number": "209-478-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "LAURA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "AUD., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2255",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA5047",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.