Individual provider Active NPI

Melisa Sharpe, AU.D.

  • Audiologist
  • Ponte Vedra Beach, FL
National Provider Identifier
1063966166
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1214 Issued in FL
Practice address
166 A1A N Ste 100
Ponte Vedra Beach, FL 32082-5701
Phone
(904) 501-2280
Fax
(855) 527-7300
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1214 FL Primary

Addresses

Primary practice location

166 A1A N Ste 100
Ponte Vedra Beach, FL 32082-5701

Mailing address

166 A1A N Ste 100
Ponte Vedra Beach, FL 32082-5701
Phone (904) 501-2280

Other practice location 1

1808 Red Hawk Ct
St Augustine, FL 32092-5038
Phone (904) 501-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000088 FL Practitioner - Qualified Audiologist 0547201139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Mobile Audiology, LLCGroup PAC ID 1456637172, 2 clinicians

Practice addresses (Care Compare)

166 A1A N
100 First Coast Audiology
Ponte Vedra Beach, FL 32082-5701
Phone (904) 501-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1214FLMDAudiologist

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1063966166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 A1A N STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "904-501-2280",
            "fax_number": "855-527-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 A1A N STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "904-501-2280",
            "fax_number": "855-527-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Red Hawk Ct",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320925038",
            "country_code": "US",
            "telephone_number": "904-501-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "MELISA",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.