Individual provider Active NPI

Zachary Scott La Fratta, AU.D.

  • Audiologist
  • West Lafayette, IN
National Provider Identifier
1992147631
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
715 Clinic Dr
West Lafayette, IN 47907-2122
Phone
(765) 494-4229
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

715 Clinic Dr
West Lafayette, IN 47907-2122

Mailing address

715 Clinic Dr
West Lafayette, IN 47907-2122
Phone (765) 494-6842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829001384 IN Practitioner - Qualified Audiologist 6305071838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Purdue UniversityGroup PAC ID 2567373012, 28 clinicians

Practice addresses (Care Compare)

715 Clinic Dr
West Lafayette, IN 47907-2122
Phone (765) 494-3789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Purdue University Hearing and Speech CurrentSince Jul 1, 2022 Accepting new patients
Trustees of Purdue University CurrentSince Jul 1, 2022 Accepting new patients

Locations

715 Clinic Dr
Rm 1042
West Lafayette, IN 47907
Phone (317) 880-7066

715 Clinic Dr
West Lafayette, IN 47907
Phone (765) 494-3789

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1992147631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA FRATTA",
        "first_name": "ZACHARY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.