Individual provider Active NPI

Lindsay Eliza Gracey, AUD

  • Audiologist
  • Boca Raton, FL
National Provider Identifier
1669123865
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1934 Issued in FL
Practice address
660 Glades Rd Ste 400
Boca Raton, FL 33431-6469
Phone
(561) 750-2100
Fax
(561) 750-0889
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1934 FL Primary

Addresses

Primary practice location

660 Glades Rd Ste 400
Boca Raton, FL 33431-6469

Mailing address

660 Glades Rd Ste 400
Boca Raton, FL 33431-6469
Phone (561) 750-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310000306 FL Practitioner - Qualified Audiologist 6901291954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

543 NW Lake Whitney PL
Suite 103
Port Saint Lucie, FL 34986-1604
Phone (772) 206-0648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James G Houle MD PA CurrentSince Jan 21, 2022 Accepting new patients
Florida ENT Associates, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Wave Audiology Audiologist CurrentSince Mar 1, 2022 Accepting new patients

Locations

660 Glades Rd
Ste 400
Boca Raton, FL 33431
Phone (561) 368-7006

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

543 NW Lake Whitney Pl
Ste 103
Port St Lucie, FL 34986
Phone (772) 206-0648

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1669123865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES RD STE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316469",
            "telephone_number": "561-750-2100",
            "fax_number": "561-750-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD STE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316469",
            "telephone_number": "561-750-2100",
            "fax_number": "561-750-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACEY",
        "first_name": "LINDSAY",
        "middle_name": "ELIZA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.