EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC. (NPI# 1336202522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336202522 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC. |
| Practice Address |
1219 Dunn Ave Daytona Beach FL 32114 |
| Mailing Address |
1219 Dunn Ave Daytona Beach FL 32114-2405 |
| Practice Telephone | 3862554568 |
| Practice Fax Number | 3862587677 |
| Mailing Telephone | 3862554568 |
| Mailing Fax Number | 3862587677 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MRS. BEVERLY JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3862554568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 087109500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
| 1649668351 | Easterseals Northeast Central Florida, Inc. | Voluntary or Charitable | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2015-01-05 |
| 1780099523 | Easterseals Northeast Central Florida, Inc. | Early Intervention Provider Agency | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2014-06-30 |
| Street Address |
1219 DUNN AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225050289 | Audrey Susan Tyler | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2006-07-25 |
| 1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
| 1043838915 | Rebecca Roberts | Behavior Technician | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-08 |
| 1649897612 | Joy Rogers | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-06-25 |
| 1447882139 | Jill Marie Baxter | Physical Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-02-10 |
| 1740822956 | Sharon Schwab | Occupational Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-10-09 |
| 1376104851 | Kimberly Jackson | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-06-25 |
| 1619435146 | Onisha Johnson | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-03-04 |
| 1265905459 | Romina Henriquez | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-01-10 |
| 1174002463 | Crystal Rich | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1891286175 | Emily Genevieve Zinfon | Audiologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-05-23 |
| 1134632672 | Erika Lau | Audiologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2017-11-07 |
| 1063772879 | Julia Katherine Carbonneau | Audiologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2012-05-25 |
| 1558397935 | Nancy T Sofiak | Audiologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932307 | Ashleigh Collis | Audiologist | 4132 Merrillville Dr Apt 16104, West Melbourne, FL 32904-6258 | 2020-11-05 |
| 1063013233 | Sertoma Speech & Hearing Foundation of Florida Inc | Audiologist | 6333 River Rd, New Port Richey, FL 34652-2223 | 2020-11-04 |
| 1538767801 | Teresa Jo Parsons | Audiologist | 2803 James L Redman Pkwy Ste 3, Plant City, FL 33566-9413 | 2020-10-09 |
| 1447869185 | Aliana Isabel Romero | Audiologist | 1601 Nw 12th Ave Ste 5061, Miami, FL 33136-1005 | 2020-07-29 |
| 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 |
| 1316564933 | Rachel Marie Edwards | Audiologist | 9140 Bonita Beach Rd Se, Bonita Springs, FL 34135-4291 | 2020-06-30 |
| 1225652845 | Kira Sullivan | Audiologist | 6101 Webb Rd Ste 211, Tampa, FL 33615-2865 | 2020-05-29 |
| 1134758550 | Mobile Audiology & Hearing Aids LLC | Audiologist | 905 Beach Blvd Ste B, Jacksonville Beach, FL 32250-4303 | 2020-04-07 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC..
| 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.