Active NPI
David R Coovert, HAS
- Hearing Instrument Specialist
- Fort Myers, FL
National Provider Identifier
1194192443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS 4886
- Practice address
- 4600 Summerlin Rd Ste C6
Fort Myers, FL 33919-3003 - Phone
- (239) 703-7546
- Fax
- (239) 533-9966
- NPI assigned
- Aug 21, 2015
- Last updated
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AS4886 | FL | |
| Hearing Instrument Specialist | 237700000X | AS 4886 | FL | Primary |
Addresses
Primary practice location
4600 Summerlin Rd Ste C6
Fort Myers, FL 33919-3003
Mailing address
4600 Summerlin Rd Ste C6
Fort Myers, FL 33919-3003
Phone (239) 703-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105210300 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS4886 | FL | MD | Audiologist-Hearing Aid Fitter |
| AS 4886 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Lifestyle Hearing Corporation USA Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Palm Beach Gardens, FL
- NPI 1316338346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1194192443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 SUMMERLIN RD STE C6",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193003",
"telephone_number": "239-703-7546",
"fax_number": "239-339-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 SUMMERLIN RD STE C6",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193003",
"telephone_number": "239-703-7546",
"fax_number": "239-533-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOVERT",
"first_name": "DAVID",
"middle_name": "R",
"credential": "HAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-21",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AS4886",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS 4886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105210300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.