Lisa Rakusin Goldberg, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80073 Issued in TX

Practice address

3705 Medical Pkwy Ste 320
Austin, TX 78705-1023

Phone

(512) 454-0392

Fax

(512) 454-6019

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Sheli Rakusin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1194789719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051027",
            "telephone_number": "512-452-0231",
            "fax_number": "512-454-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-0392",
            "fax_number": "512-454-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LISA",
        "middle_name": "RAKUSIN",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RAKUSIN",
            "middle_name": "SHELI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Leigh Gold, LM, CPM
• Karen Goldapp, LCSW
• Christina Grace Goldberg, CRNA
• Donna Goldberg, LPC
• Kevin J Goldberg, PSY.D.
• Stefani Goldberg
• Stephanie Goldberg
• Tyler D. Goldberg, MD
• Brayden Goldblatt, RD
• David Goldblatt, M.D.

• Audiologist in Austin, TX
• Providers in Austin, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.