Individual provider Active NPI

Lisa M Marshall, HAD

  • Hearing Instrument Specialist
  • Gold Canyon, AZ
National Provider Identifier
1578872172
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD 4304 Issued in AZ
Practice address
5331 S Superstition Mountain Dr
Suite C-107
Gold Canyon, AZ 85118-1921
Phone
(480) 983-4000
Fax
(480) 983-4844
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAD 4304 AZ Primary

Addresses

Primary practice location

5331 S Superstition Mountain Dr
Suite C-107
Gold Canyon, AZ 85118-1921

Mailing address

5331 S Superstition Mountain Dr
Suite C-107
Gold Canyon, AZ 85118-1921
Phone (480) 983-4000

Other names 1

  • Gold Canyon Hearing Professional name

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
HAD 4304AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Canyon Hearing, PLLC Past Accepting new patients
Heargen LLC Hearing Instrument Specialist PastSince Oct 4, 2020 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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1578872172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 S SUPERSTITION MOUNTAIN DR",
            "address_2": "SUITE C-107",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851181921",
            "telephone_number": "480-983-4000",
            "fax_number": "480-983-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S SUPERSTITION MOUNTAIN DR",
            "address_2": "SUITE C-107",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851181921",
            "telephone_number": "480-983-4000",
            "fax_number": "480-983-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD 4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOLD",
            "last_name": "HEARING",
            "middle_name": "CANYON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.