CONSTANCE ALEXIS GREEN (NPI# 1063823730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063823730 |
| Entity Type | Individual |
| Full Name | CONSTANCE ALEXIS GREEN |
| Credential | AU.D. |
| Practice Address |
13904 N Dale Mabry Hwy Suite 200 Tampa FL 33618-2446 |
| Practice Telephone | 8139082020 |
| Practice Fax Number | 8139082133 |
| Mailing Telephone | 8139082020 |
| Mailing Fax Number | 8139082133 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2015-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AY1892 | FL | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | AZ663 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
13904 N DALE MABRY HWY SUITE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851386395 | Thomas Hunter Newsom | Ophthalmology | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2005-09-12 |
| 1437528742 | Newsom Eye & Laser Center, Inc. | Optometrist | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2015-09-16 |
| 1376896324 | Newsom Cosmetics LLC | Plastic Surgery | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2012-10-16 |
| 1134409832 | Newsom Cosmetics LLC | Ophthalmology | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2011-08-25 |
| 1427340124 | Newsom Eye & Laser Center, Inc. | Optometrist | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2011-05-12 |
| 1720370034 | Vinita Srivastava | Ophthalmology | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2011-05-04 |
| 1023256187 | Tampa Surgery Center LLC | Clinic/Center | 13904 N Dale Mabry Hwy, Suite 100, Tampa, FL 33618-2446 | 2009-01-28 |
| 1619963493 | Newsom Eye & Laser Center Inc | Optometrist | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2005-09-27 |
| 1447245246 | Eric A Fazio | Optometrist | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676236 | Morgan Oktela | Audiologist | 12901 Bruce B Downs Blvd # 73, Tampa, FL 33612-4742 | 2020-07-20 |
| 1285251736 | Melanie Hoglievina | Audiologist | 20470 Colonial Hill Dr Unit 101, Tampa, FL 33647-3694 | 2020-07-01 |
| 1225652845 | Kira Sullivan | Audiologist | 6101 Webb Rd Ste 211, Tampa, FL 33615-2865 | 2020-05-29 |
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1215415054 | Danielle M Sacchinelli | Audiologist | 508 S Habana Ave Ste 170, Tampa, FL 33609-4190 | 2018-08-03 |
| 1568978443 | Rachel Ann Conter | Audiologist | 6615 Gunn Hwy, Tampa, FL 33625-4056 | 2017-12-14 |
| 1205345634 | Chelsea Elizabeth Montgomery | Audiologist | 14663 Norwood Oaks Dr Apt 202, Tampa, FL 33613-3370 | 2017-09-28 |
| 1356686380 | Lorraine Babeu | Audiologist | 10402 Riverburn Dr, Tampa, FL 33647-3156 | 2012-12-03 |
| 1205133220 | Charles Irwin Berlin | Audiologist | 10115 Belgrave Rd, Tampa, FL 33626-5409 | 2011-02-28 |
| 1023313509 | Greater Tampa Hearing Aids LLC | Audiologist | 13902 N. Dale Mabry Highway, Suite 106, Tampa, FL 33618 | 2011-01-14 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.