Active NPI
Mary J Burton, AU D
- Audiologist
- Saint Petersburg, FL
National Provider Identifier
1003889015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1803
- Practice address
- 502 Pasadena Ave S
Saint Petersburg, FL 33707-2126 - Phone
- (727) 289-1212
- Fax
- (727) 289-9901
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0451 | KY | |
| Hearing Instrument Specialist | 237700000X | 0923 | KY | |
| Audiologist | 231H00000X | AY1803 | FL | Primary |
Addresses
Primary practice location
502 Pasadena Ave S
Saint Petersburg, FL 33707-2126
Mailing address
502 Pasadena Ave S
Saint Petersburg, FL 33707-2126
Phone (727) 289-1212
Other practice location 1
6827 1st Ave S
Suite 100
Saint Petersburg, FL 33707-1242
Phone (727) 341-0551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000381573 | Other | KY | ANTHEM |
| 200533170 | Other | IN | MEDICAID |
| P00436413 | Other | KY | MEDICARE RAILROAD |
Other names 1
- Mary J Francis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171019000173 | FL | Practitioner - Qualified Audiologist | 2668423468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0923 | KY | MD | Mental Health Counselor |
| 0451 | KY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ken-Bel, Inc | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Louisville, KY
- NPI 1740277482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003889015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 PASADENA AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337072126",
"telephone_number": "727-289-1212",
"fax_number": "727-289-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 PASADENA AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337072126",
"telephone_number": "727-289-1212",
"fax_number": "727-289-9901"
}
],
"practiceLocations": [
{
"address_1": "6827 1st Ave S",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337071242",
"country_code": "US",
"telephone_number": "727-341-0551",
"fax_number": "727-341-0332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTON",
"first_name": "MARY",
"middle_name": "J",
"credential": "AU D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0451",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "0923",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000381573",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "200533170",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00436413",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "FRANCIS",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.