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Deactivated NPI 1023332269 Deactivated / Inactive NPI Female Practitioner

Amy Marie Lane , MS, CCC-A

Audiologist • Lees Summit, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amy Lane has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2006
NPI Deactivation Date January 28, 2010
Total Practice Duration ~4 Years of Practice (2006 – 2010)

Professional Overview & Biography Verified Profile Summary

Amy Lane, MS, CCC-A was a registered Audiologist practicing in Lees Summit, MO. Throughout an active medical career spanning 4 years, Amy Lane provided care at the practice location at 4200 NE SUWANNEE DR until profile deactivation on 2010-01-28.

Practice Location & Contact Primary Location

Practice Address

4200 Ne Suwannee Dr

Lees Summit, MO 640641381

Telephone 8166867708

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.2 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
26 Specialists

Practicing in Lees Summit, MO (494 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License MO 2002028924

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Audiologist

NUCC Taxonomy Code: 231H00000X

State License KS 2003

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
336016308 (MO)
Medicaid State Provider ID
100449020A (KS)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
NPI Profile Active March 31, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2010

Registered at 4200 NE SUWANNEE DR, LEES SUMMIT, MO 640641381 (Tel: 8166867708)

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Updated Business Mailing Address March 31, 2010

Registered at 4200 NE SUWANNEE DR, LEES SUMMIT, MO 640641381 (Tel: 8166867708)

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Provider Name / Credentials Updated March 31, 2010

Recorded as AMY LANE, M.S., CCC-A

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2010

Audiologist (License #2002028924 in MO)

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NPI Profile Deactivated January 28, 2010

Record deactivated on January 28, 2010

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Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023332269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: March 31, 2010
Deactivation Date: January 28, 2010
Sole Proprietor: No

Mailing Address

4200 Ne Suwannee Dr

Lees Summit, MO 640641381

Phone: 8166867708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.