ISLAND AUDIOLOGY, LLC (NPI# 1811265051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811265051 |
| Entity Type | Organization |
| Organization Name | ISLAND AUDIOLOGY, LLC |
| Practice Address |
13999 Gulf Blvd Ste C4 Madeira Beach FL 33708-2677 |
| Practice Telephone | 7273298683 |
| Mailing Telephone | 7273298683 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | DR. HEIDI D ROBERTS-FORDHAM (OWNER/AUDIOLOGIST) |
| Authorized Official Telephone | 7273298683 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
AY1366 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811948045 | Island Audiology, LLC | Audiologist | 1601 Kapiolani Blvd Ste 950, Honolulu, HI 96814-4700 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ISLAND AUDIOLOGY, LLC | 1221 Kapiolani Blvd Ste 6e, Honolulu, HI 96814-3513 |
| Street Address |
13999 GULF BLVD STE C4 |
| City | MADEIRA BEACH |
| State | FL |
| Zip Code | 33708-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580545 | Caryn Lee Jackson-costello | Technician | 229h Medallion Boulevard, Madeira Beach, FL 33708 | 2018-12-21 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1073929634 | Blake Burnett | Student in an Organized Health Care Education/Training Program | 9200 113th Street, Saint Petersburg, FL 33708 | 2014-07-03 |
| 1568876084 | Lori R Hassinger Pa | Optometrist | 10127 Bay Pines Blvd, Saint Petersburg, FL 33708 | 2014-06-12 |
| 1043596927 | Elizabeth Wedman-st. Louis | Dietitian, Registered | 17920 Gulf Blvd, Ste 606, Redington Shores, FL 33708 | 2011-10-24 |
| 1033492301 | Irina S Solonenko | Pharmacist | 674 E Welch Causeway, Madeira Beach, FL 33708 | 2011-09-23 |
| 1962630277 | Rebekah Anne Smith | Optometrist | 15037 Madeira Way, Madeira Beach, FL 33708 | 2009-06-25 |
| 1952535973 | Ronald A Luscomb | Nurse Practitioner | 16110 Redington Drive, Redington Beach, FL 33708 | 2009-05-05 |
| 1679753933 | We Care Home Health Inc | Home Health | 10911 53rd Av No, St Petersburg, FL 33708 | 2007-11-05 |
| 1740408798 | The Hoffman Clinic, P.a. | Acupuncturist | 13495 Gulf Boulevard, Madeira Beach, FL 33708 | 2007-04-23 |
| Find all providers in zip 33708 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
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| 1801493002 | Northland Hearing Center, Inc. | Clinic/Center | 907 Mar Walt Dr Ste 2012, Fort Walton Beach, FL 32547-6756 | 2020-10-01 |
| 1750988960 | Northland Hearing Center, Inc. | Clinic/Center | 1000 S Jefferson St Ste E, Perry, FL 32348-4607 | 2020-10-01 |
| 1548867740 | Northland Hearing Center, Inc. | Clinic/Center | 4100 S Ferdon Blvd Ste A5, Crestview, FL 32536-5287 | 2020-10-01 |
| 1386241586 | Northland Hearing Center, Inc. | Clinic/Center | 950 N Collier Blvd Ste 402, Marco Island, FL 34145-2722 | 2020-10-01 |
| 1154928349 | Northland Hearing Center, Inc. | Clinic/Center | 2209 Santa Barbara Blvd Ste 102, Cape Coral, FL 33991-4333 | 2020-10-01 |
| 1285240697 | Hear Usa | Clinic/Center | 3618 Kiessel Rd, The Villages, FL 32163-2910 | 2020-09-21 |
| 1003427600 | Takes2tolingo, LLC | Clinic/Center | 13712 18th Pl E, Bradenton, FL 34212-9178 | 2020-08-17 |
| 1164032611 | Speechrx LLC | Clinic/Center | 1762 Sw Crane Creek Cir, Palm City, FL 34990-2232 | 2020-08-08 |
| Find all providers with the same taxonomy | ||||
| City | MADEIRA BEACH |
| Zip Code | 33708 |
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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.