Active NPI
Grace Berry, AU.D.
- Audiologist
- North Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2103
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00504 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Fyzbiz, LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | 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.
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
-
dba FYZICAL Therapy and Balance Centers
- Rehabilitation Clinic/Center
- Fort Myers, FL
- NPI 1700248887
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
dba Liberman Advanced Surgical
- Surgery Physician
- Naples, FL
- NPI 1841595790
-
dba Black Hawk Hearing Aid Center
- Hearing Instrument Specialist
- Waterloo, IA
- NPI 1467448217
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.