Individual provider Active NPI

Grace Berry, AU.D.

  • Audiologist
  • North Fort Myers, FL
National Provider Identifier
1588859508
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2103 Issued in FL
Practice address
16251 N Cleveland Ave Ste 4
North Fort Myers, FL 33903-2176
Phone
(239) 666-2910
Fax
(239) 731-6555
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X
Audiologist 231H00000X AY2103 FL Primary

Addresses

Primary practice location

16251 N Cleveland Ave Ste 4
North Fort Myers, FL 33903-2176

Mailing address

2033 Barbados Ave
Fort Myers, FL 33905-2038
Phone (515) 835-2103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329002864 FL Practitioner - Qualified Audiologist 8123014339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00504IAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Current Accepting new patients
Fyzbiz, LLC CurrentSince Feb 6, 2017 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 6, 2025 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 6, 2025 Accepting new patients
Hearing Unlimited LLC Past Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990

12700 Creekside Ln
Ste 100
Fort Myers, FL 33919
Phone (239) 936-1616

21 Barkley Cir
Fort Myers, FL 33907
Phone (239) 939-2616

15761 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 415-8377

13010 Metro Pkwy
Fort Myers, FL 33966
Phone (239) 561-1177

15620 McGregor Blvd
Ste 115
Fort Myers, FL 33908
Phone (239) 454-6262

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922

16251 N Cleveland Ave
Ste 4
North Ft Myers, FL 33903
Phone (239) 666-2910

Organizations & group practices 5

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1588859508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 BARBADOS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052038",
            "telephone_number": "515-835-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 N CLEVELAND AVE STE 4",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339032176",
            "telephone_number": "239-666-2910",
            "fax_number": "239-731-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.