Individual provider Active NPI

Lachelle Maureen Lazarus, AU.D.

  • Audiologist
  • Baltimore, MD
National Provider Identifier
1982056826
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01487 Issued in MD
Practice address
16 S Eutaw St Ste 400
Baltimore, MD 21201-1699
Phone
(410) 328-5948
NPI assigned
Jul 4, 2016
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01487 MD Primary

Addresses

Primary practice location

16 S Eutaw St Ste 400
Baltimore, MD 21201-1699

Mailing address

3020 Autumn Branch LN Apt J
Ellicott City, MD 21043-3552
Phone (954) 682-6081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160913002108 CT Practitioner - Qualified Audiologist 2860788163 Reassigns benefits to 2 organizations
I20191024002779 MD Practitioner - Qualified Audiologist 2860788163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Sep 9, 2019 Accepting new patients
Yale University CurrentSince Aug 4, 2016 Accepting new patients
Yale University CurrentSince Aug 4, 2016 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Mar 17, 2018 Accepting new patients

Locations

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

800 Howard Ave
Fl 4
New Haven, CT 06519
Phone (203) 785-2593

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791

Organizations & group practices 4

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": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1982056826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 AUTUMN BRANCH LN APT J",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433552",
            "telephone_number": "954-682-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011699",
            "telephone_number": "410-328-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARUS",
        "first_name": "LACHELLE",
        "middle_name": "MAUREEN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.