Individual provider Active NPI

Juliette Gassert, AU.D.

  • Audiologist
  • Mount Pleasant, SC
National Provider Identifier
1134519036
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4065 Issued in SC
Practice address
900 Johnnie Dodds Blvd Ste 101
Mount Pleasant, SC 29464-6177
Phone
(843) 849-8604
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3037 CA
Audiologist 231H00000X 4065 SC Primary

Addresses

Primary practice location

900 Johnnie Dodds Blvd Ste 101
Mount Pleasant, SC 29464-6177

Mailing address

181 Bayfront Dr Unit 511
Mount Pleasant, SC 29464-1857
Phone (301) 520-6084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4065SCMDPharmacist
3037CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Hearing Corporation USA Inc. Audiologist Past Accepting new patients

Organizations & group practices 1

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": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1134519036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BAYFRONT DR UNIT 511",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641857",
            "telephone_number": "301-520-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNNIE DODDS BLVD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646177",
            "telephone_number": "843-849-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSERT",
        "first_name": "JULIETTE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3037",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.