NPIMap

Individual provider Active NPI

Gretchen Lee Adams Syfert, AU.D.

  • Audiologist
  • Merritt Island, FL
National Provider Identifier
1306123609
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1605 Issued in FL
Practice address
2542 Newfound Harbor Dr
Merritt Island, FL 32952-2869
Phone
(321) 459-2257
Fax
(321) 459-2257
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1605 FL Primary

Addresses

Primary practice location

2542 Newfound Harbor Dr
Merritt Island, FL 32952-2869

Mailing address

2542 Newfound Harbor Dr
Merritt Island, FL 32952-2869
Phone (321) 459-2257

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

LicenseStateTypeSpecialty
AY1605FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonus-USA, Inc. Past Accepting new patients
Sonus-USA, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1306123609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 NEWFOUND HARBOR DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329522869",
            "telephone_number": "321-459-2257",
            "fax_number": "321-459-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 NEWFOUND HARBOR DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329522869",
            "telephone_number": "321-459-2257",
            "fax_number": "321-459-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYFERT",
        "first_name": "GRETCHEN",
        "middle_name": "LEE ADAMS",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.