Individual provider Active NPI

Betty Jane Hoade, AU.D.

  • Audiologist
  • Fort Myers, FL
National Provider Identifier
1215994611
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY397 Issued in FL
Practice address
9711 Commerce Center CT
Ste 101
Fort Myers, FL 33908-3817
Phone
(239) 936-0721
Fax
(239) 939-3875
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY397 FL Primary

Addresses

Primary practice location

9711 Commerce Center CT
Ste 101
Fort Myers, FL 33908-3817

Mailing address

19451 Meredith Rd
North Fort Myers, FL 33917-4819
Phone (239) 936-0721

Other identifiers 1

IdentifierTypeStateIssuer
AY397OtherFLSTATE AUDIOLOGY LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1215994611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19451 MEREDITH RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339174819",
            "telephone_number": "239-936-0721",
            "fax_number": "239-939-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 COMMERCE CENTER CT",
            "address_2": "STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083817",
            "telephone_number": "239-936-0721",
            "fax_number": "239-939-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOADE",
        "first_name": "BETTY",
        "middle_name": "JANE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AUDIOLOGY LICENSE",
            "identifier": "AY397",
            "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 Sep 18, 2014; 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.