Individual provider Active NPI

Lynda Marie Mercer, AUD

  • Audiologist
  • Fort Myers, FL
National Provider Identifier
1467507079
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY000735 Issued in FL
Practice address
7780 Cambridge Manor PL Ste C
Fort Myers, FL 33907-3656
Phone
(239) 332-0707
Fax
(239) 332-0780
NPI assigned
Jan 24, 2007
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY000735 FL Primary

Addresses

Primary practice location

7780 Cambridge Manor PL Ste C
Fort Myers, FL 33907-3656

Mailing address

7780 Cambridge Manor PL Ste C
Fort Myers, FL 33907-3656
Phone (239) 332-0707

Other identifiers 1

IdentifierTypeStateIssuer
600230700MedicaidFL

Other names 1

  • Lynda Marie Nally Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000182 FL Practitioner - Qualified Audiologist 9234225541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Florida Center for Hearing and Balance P aGroup PAC ID 1850488362, 2 clinicians

Practice addresses (Care Compare)

7780 Cambridge Manor PL
Suite C
Fort Myers, FL 33907-3656
Phone (239) 332-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY000735FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Center for Hearing and Balance P a Audiologist CurrentSince Mar 12, 2007 Accepting new patients

Locations

7780 Cambridge Manor Pl
Ste C
Fort Myers, FL 33907
Phone (239) 275-6778

9732 Commerce Center Ct
Unit A
Fort Myers, FL 33908
Phone (239) 332-0707

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1467507079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 CAMBRIDGE MANOR PL STE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073656",
            "telephone_number": "239-332-0707",
            "fax_number": "239-332-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 CAMBRIDGE MANOR PL STE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073656",
            "telephone_number": "239-332-0707",
            "fax_number": "239-332-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "LYNDA",
        "middle_name": "MARIE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY000735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600230700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "NALLY",
            "middle_name": "MARIE",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.