Individual provider Active NPI

Brandi J Raycheck, M.A., CCC-A

  • Audiologist
  • South Lebanon, OH
National Provider Identifier
1609100908
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-01328 Issued in OH
Practice address
3569 N Section Ext
South Lebanon, OH 45065-1169
Phone
(513) 304-1258
NPI assigned
Sep 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01328 OH Primary

Addresses

Primary practice location

3569 N Section Ext
South Lebanon, OH 45065-1169

Mailing address

3569 N Section Ext
South Lebanon, OH 45065-1169
Phone (513) 304-1258

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A-01328OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Our Hearing Doctor, LLC PastSince Jul 4, 2021 Accepting new patients
Mobile Medical, Inc. Past 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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1609100908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 N SECTION EXT",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450651169",
            "telephone_number": "513-304-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 N SECTION EXT",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450651169",
            "telephone_number": "513-304-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYCHECK",
        "first_name": "BRANDI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.