Organization Active NPI

Rainbow River Hearing & Balance, Inc.

  • Audiologist
  • Dunnellon, FL
National Provider Identifier
1962908194
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2077 Issued in FL
Legal business name
RAINBOW RIVER HEARING & BALANCE, INC.
Practice address
20170 E Pennsylvania Ave
Dunnellon, FL 34432-6032
Phone
(352) 462-7003
Fax
(352) 496-3053
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Dr. Lisa Nicole Gascay, AUDNPI 1508204785
Title
Audiologist/President
Phone
(352) 462-7003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AY2077 FL Primary

Addresses

Primary practice location

20170 E Pennsylvania Ave
Dunnellon, FL 34432-6032

Mailing address

PO Box 3293
Dunnellon, FL 34430-3293
Phone (352) 462-7003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181024002096 FL Part B Supplier - Clinic/Group Practice 0042563835 Receives reassigned benefits from 2 practitioners
Practice locations: Dunnellon, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1962908194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3293",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344303293",
            "telephone_number": "352-462-7003",
            "fax_number": "833-252-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20170 E PENNSYLVANIA AVE",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326032",
            "telephone_number": "352-462-7003",
            "fax_number": "352-496-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW RIVER HEARING & BALANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "GASCAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "AUDIOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "352-462-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.