Stacey Lynn Goben

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

000964 Issued in IA

Practice address

3852 Hammond Ave
Waterloo, IA 50702-5618

Phone

(319) 235-4358

Fax

(319) 235-8061

NPI assigned

Dec 10, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Iowa Hearing Associates LLC

  • Hearing Aid Equipment
  • Waterloo, IA
  • NPI 1215142872
  NPD (past)

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1457696957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ENTERPRISE RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 HAMMOND AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025618",
            "telephone_number": "319-235-4358",
            "fax_number": "319-235-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEN",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "000964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica J Girres, RN
• Girsch Pharmacies, Inc.
• Julie Marie Gleason, ARNP
• Global Urology PC
• Anna-Lisa Gmeiner
• Nicholas J Goetsch, D.O.
• Brian Goldfine, MT-BC
• Nicole Elizabeth Gonzalez, MD
• Emily Goodenbour
• David Wayne Goodson, MSW

• Hearing Instrument Specialist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Hearing Instrument Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.