Lisa J Gibbs, M.A., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA0075 Issued in AZ

Practice address

1760 McCulloch Blvd N
Ste. 100
Lake Havasu City, AZ 86403-6559

Phone

(928) 854-5368

Fax

(928) 854-4462

NPI assigned

Mar 19, 2008

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

Enrolled in AZ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Coast Ear, Nose and Throat, LTD.Group PAC ID 2668456104, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Arizona Coast Ear, Nose & Throat, LTD.

  • Otolaryngology Physician
  • Lake Havasu City, AZ
  • NPI 1467583898
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1497926356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MCCULLOCH BLVD N",
            "address_2": "STE. 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036559",
            "telephone_number": "928-854-5368",
            "fax_number": "928-854-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MCCULLOCH BLVD N",
            "address_2": "STE. 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036559",
            "telephone_number": "928-854-5368",
            "fax_number": "928-854-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA0075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Gamble
• Jennifer Nicole Rusch Garcia, D.C.
• Leticia Garcia, PHARMD
• Andrew Geigle, DMD
• Shaina Geisler
• Jill Darlene Gilbank, BSC OT
• Kelsy Gilmore
• Debbie A Gilsdorf
• Erin Rose Ginsburg, PTA
• Terrence Patrick Gleason, M.D.

• Audiologist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.