Larissa Renee Bannon
NPI 1174200851ActiveIndividual· Audiologist· Allentown, PA
Audiologist in Allentown, Pennsylvania, trained at Vanderbilt University School of Medicine (class of 2023). Enrolled in Medicare as practitioner - qualified audiologist and practitioner - qualified audiologist.
Overview
| NPI | 1174200851 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 3, 2023 |
| Last updated in NPPES | Dec 3, 2025 |
| Certified by provider | Dec 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AT007075 | PA |
| Audiologist | 231H00000X | 2109 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (PA); Practitioner - Qualified Audiologist (TN) |
|---|
Education and affiliations
| Medical school | Vanderbilt University School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Qualified Audiologist |
Medical group
- Lehigh Valley Physician GroupAllentown, PA · 2,542 clinicians
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