Individual provider Active NPI

Lori Kielty Girouard, AUD CCC-A

  • Audiologist
  • Stuart, FL
National Provider Identifier
1841336369
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1114 Issued in FL
Practice address
3601 SE Ocean Blvd Ste 205
Stuart, FL 34996-6753
Phone
(772) 678-6925
Fax
(772) 678-6954
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1114 FL Primary

Addresses

Primary practice location

3601 SE Ocean Blvd Ste 205
Stuart, FL 34996-6753

Mailing address

3455 SW Canoe PL
Palm City, FL 34990-1830
Phone (772) 464-9595

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

State licenses

LicenseStateTypeSpecialty
AY1114FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Florida, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

4632 S 25th St
Fort Pierce, FL 34981
Phone (772) 464-9595

1871 SE Tiffany Ave
Ste 110
Port St Lucie, FL 34952
Phone (772) 220-8459

2221 SE Ocean Blvd
Ste 300
Stuart, FL 34996
Phone (772) 220-8459

Organizations & group practices 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1841336369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 SW CANOE PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901830",
            "telephone_number": "772-464-9595",
            "fax_number": "772-464-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SE OCEAN BLVD STE 205",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349966753",
            "telephone_number": "772-678-6925",
            "fax_number": "772-678-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROUARD",
        "first_name": "LORI",
        "middle_name": "KIELTY",
        "name_prefix": "Dr.",
        "credential": "AUD  CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.