Active NPI
Lydia J Gladwin, AUD
- Audiologist
- New Port Richey, FL
National Provider Identifier
1679582290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1140
- Practice address
- 5139 US Highway 19
New Port Richey, FL 34652-3966 - Phone
- (727) 849-6076
- Fax
- (727) 848-2830
- NPI assigned
- Aug 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1140 | FL | Primary |
Addresses
Primary practice location
5139 US Highway 19
New Port Richey, FL 34652-3966
Mailing address
P O Box 406153
Atlanta, GA 30384-1876
Phone (727) 849-6076
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167450 | Other | FL | GHI |
| 600388500 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Hearing &Balance Center | Audiologist | Past | Accepting new patients |
| Hearusa Inc | Past | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Audiologist
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- NPI 1851306211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1679582290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 406153",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841876",
"telephone_number": "727-849-6076",
"fax_number": "727-848-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5139 US HIGHWAY 19",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346523966",
"telephone_number": "727-849-6076",
"fax_number": "727-848-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADWIN",
"first_name": "LYDIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0167450",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600388500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.