DOMINIQUE M BOTTA (NPI# 1518434547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518434547 |
| Entity Type | Individual |
| Full Name | DOMINIQUE M BOTTA |
| Credential | AU.D |
| Practice Address |
1680 Dunlawton Ave Port Orange FL 32127-4754 |
| Practice Telephone | 3867568225 |
| Mailing Telephone | 3867568225 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AY2238 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | AY2238 | 01 |
| Street Address |
1680 DUNLAWTON AVE |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053377861 | Ormond Radiology Partnership, L.l.c | Radiology | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2006-04-21 |
| 1679180368 | Sarah Clancy | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2020-09-26 |
| 1932726171 | Rebecca Smith Burden | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2020-07-04 |
| 1659939460 | Danielle Lauren Hoffman | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2019-06-05 |
| 1366893984 | Taylor Unger | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2016-06-24 |
| 1720256126 | Monsour Weaver Leb Pa | Radiology | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2008-02-19 |
| 1528024882 | James W Weaver | Radiology | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2006-04-25 |
| 1992761746 | Robert B Leb | Radiology | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| 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 |
|---|---|---|---|---|
| 1124433354 | Aaron Hutchinson | Audiologist | 1175 Dunlawton Ave, Suite 101, Port Orange, FL 32127-4745 | 2014-06-26 |
| 1679180368 | Sarah Clancy | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2020-09-26 |
| 1932726171 | Rebecca Smith Burden | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2020-07-04 |
| 1659939460 | Danielle Lauren Hoffman | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2019-06-05 |
| 1073050050 | Volusia Audiology LLC | Audiologist | 5889 S Williamson Blvd, Suite 1317, Port Orange, FL 32128-7134 | 2017-01-27 |
| 1457704710 | Miller Mcinnis | Audiologist | 1185 Dunlawton Ave, Ste 103, Port Orange, FL 32127-2905 | 2016-07-21 |
| 1366893984 | Taylor Unger | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2016-06-24 |
| 1700245727 | Dana Jickell | Audiologist | 4550 Clyde Morris Blvd Ste B, Port Orange, FL 32129-4080 | 2016-02-18 |
| 1184093262 | Atlantic Audiology, LLC | Audiologist | 1185 Dunlawton Ave, Suite 103, Port Orange, FL 32127-2905 | 2015-09-18 |
| 1093105280 | Stacy O'brien Audiology | Audiologist | 1185 Dunlawton Ave, Suite 103, Port Orange, FL 32127-2905 | 2015-01-27 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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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.