Lisa Goerner, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002099A Issued in IN

Practice address

200 S Jordan Ave
Bloomington, IN 47405-7002

Phone

(812) 855-7439

Fax

(812) 855-5561

NPI assigned

Nov 23, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Hickory Audiology LLCGroup PAC ID 3971918814, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hickory Audiology LLC

  • Audiologist
  • Bloomington, IN
  • NPI 1548866262
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821071838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S JORDAN AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474057002",
            "telephone_number": "812-855-7439",
            "fax_number": "812-855-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S JORDAN AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474057002",
            "telephone_number": "812-855-7439",
            "fax_number": "812-855-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERNER",
        "first_name": "LISA",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002099A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11524341",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Goad, MD
• Robert L Goddard Jr., MD
• Emmily Marie Godsey, RBT
• Tyler Godsey
• Jamie S Goecker, M.A., BCBA, LBA
• Nona Goff
• Rochelle Goins, RBT
• Golden Years Home Care of Indiana Inc (Comfort Keepers #371)
• Cassandra Golden
• Anna Goldsberry

• Audiologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.