Organization Active NPI

Crystal Hearing Solutions, LLC

  • Audiologist
  • North Fort Myers, FL
National Provider Identifier
1982238127
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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.NPI 1770763559
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.