Active NPI
Lisa Dyre, MA
- Audiologist-Hearing Aid Fitter
- Austin, TX
National Provider Identifier
1225227739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 50880
- Practice address
- 7704 El Dorado Dr
Austin, TX 78737-3005 - Phone
- (512) 394-0609
- NPI assigned
- Oct 20, 2007
- Sex
- Female
- 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 | 231H00000X | 05880 | TX | |
| Audiologist-Hearing Aid Fitter | 237600000X | 50880 | TX | Primary |
Addresses
Primary practice location
7704 El Dorado Dr
Austin, TX 78737-3005
Mailing address
7704 El Dorado Dr
Austin, TX 78737-3005
Phone (512) 394-0609
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05880 | TX | MD | Audiologist |
| 50880 | TX | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1225227739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7704 EL DORADO DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787373005",
"telephone_number": "512-394-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7704 EL DORADO DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787373005",
"telephone_number": "512-394-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYRE",
"first_name": "LISA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-20",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "05880",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "50880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.