Active NPI
Elizabeth K Gathercole, AU.D.
- Audiologist
- Boca Raton, FL
National Provider Identifier
1376823450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1575
- Practice address
- 127 NW 13TH St
Suite C13
Boca Raton, FL 33432-1640 - Phone
- (561) 620-3600
- NPI assigned
- Aug 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1575 | FL | Primary |
Addresses
Primary practice location
127 NW 13TH St
Suite C13
Boca Raton, FL 33432-1640
Mailing address
119 Coral Way E
Unit C
Indialantic, FL 32903-2121
Phone (352) 328-9376
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 |
|---|---|---|---|
| AY1575 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1376823450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 CORAL WAY E",
"address_2": "UNIT C",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329032121",
"telephone_number": "352-328-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 NW 13TH ST",
"address_2": "SUITE C13",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334321640",
"telephone_number": "561-620-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATHERCOLE",
"first_name": "ELIZABETH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.