Active NPI
Crystal Hearing Solutions, LLC
- Audiologist
- North Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- CRYSTAL HEARING SOLUTIONS, LLC
- Practice address
- 16251 N Cleveland Ave Ste 8
North Fort Myers, FL 33903-2176 - Phone
- (239) 997-8288
- Fax
- (239) 997-8084
- NPI assigned
- Feb 26, 2020
- Last updated
- Feb 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Crystal Marie Broussard, AU.D.
- Title
- Doctor of Audiology/Owner
- Phone
- (239) 997-8288
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | NU | ||
| Hearing Aid Equipment | 332S00000X | NU | ||
| Audiologist | 231H00000X | NU | Primary | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | NU | ||
| Assistive Technology Supplier Audiologist | 231HA2500X | NU | ||
| Audiologist-Hearing Aid Fitter | 237600000X | NU |
Addresses
Primary practice location
16251 N Cleveland Ave Ste 8
North Fort Myers, FL 33903-2176
Mailing address
16251 N Cleveland Ave Ste 8
North Fort Myers, FL 33903-2176
Phone (239) 997-8288
National Provider Directory
National Provider DirectoryLocations
16251 N Cleveland Ave
Ste 8
North Ft Myers, FL 33903
Phone (239) 768-3078
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Audiologist
- North Fort Myers, FL
- NPI 1770763559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1982238127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16251 N CLEVELAND AVE STE 8",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339032176",
"telephone_number": "239-997-8288",
"fax_number": "239-997-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16251 N CLEVELAND AVE STE 8",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339032176",
"telephone_number": "239-997-8288",
"fax_number": "239-997-8084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL HEARING SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2022-02-16",
"certification_date": "2022-01-18",
"status": "A",
"authorized_official_last_name": "BROUSSARD",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY/OWNER",
"authorized_official_telephone_number": "239-997-8288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.