Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Janicki, MS, CCC-A

Individual provider Audiologist · NPI 1225339062

Lisa Janicki, MS, CCC-A is a Qualified Audiologist in East Providence, Rhode Island. Qualified in 1996, 30 years ago. Practices with Gateway Hearing Solutions, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
30
Licensed in
RI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

999 S Broadway
East Providence, RI 02914-4701
Phone: (401) 431-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 00131 (RI)
Audiologist Taxonomy 231H00000X · Licence 000131 (RI)

Record details

NPI number1225339062
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-A
Sole proprietorYes
NPI enumeratedNovember 10, 2010
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address163 Waterman St, Providence, RI 02906-3109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Gateway Hearing Solutions, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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