Individual provider Active NPI

Margaret M Lopez-Grenville

  • Hearing Instrument Specialist
  • Palm Bay, FL
National Provider Identifier
1912679564
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
5068 Issued in FL
Practice address
1300 Palm Bay Rd Ste 3
Palm Bay, FL 32905-3846
Phone
(321) 733-1800
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 5068 FL Primary

Addresses

Primary practice location

1300 Palm Bay Rd Ste 3
Palm Bay, FL 32905-3846

Mailing address

4350 Buttonbush Dr
Titusville, FL 32796-1484
Phone (321) 747-5180

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgrenville@miracleearhearing.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5068FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mefl, LLC Hearing Instrument Specialist PastSince Oct 17, 2021 Accepting new patients
Mefl, LLC Hearing Instrument Specialist PastSince Oct 17, 2021 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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1912679564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 BUTTONBUSH DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327961484",
            "telephone_number": "321-747-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PALM BAY RD STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053846",
            "telephone_number": "321-733-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-GRENVILLE",
        "first_name": "MARGARET",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgrenville@miracleearhearing.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1300 Palm Bay Rd Ste 3",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329053846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.