Active NPI
Soundside Hearing Center LLC
- Hearing Instrument Specialist
- Navarre, FL
National Provider Identifier
1073347282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Legal business name
- SOUNDSIDE HEARING CENTER LLC
- Practice address
- 1772 Sea Lark LN
Navarre, FL 32566-7472 - Phone
- (850) 939-9721
- Fax
- (850) 684-3066
- NPI assigned
- Aug 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sherrie Melissa Koenigseder, APRN
- Title
- Owner
- Phone
- (850) 939-9721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | Primary |
Addresses
Primary practice location
1772 Sea Lark LN
Navarre, FL 32566-7472
Mailing address
1772 Sea Lark LN
Navarre, FL 32566-7472
Phone (850) 939-9721
National Provider Directory
National Provider DirectoryLocations
1772 Sea Lark Ln
Navarre, FL 32566
Phone (850) 710-3312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1073347282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1772 SEA LARK LN",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667472",
"telephone_number": "850-939-9721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1772 SEA LARK LN",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667472",
"telephone_number": "850-939-9721",
"fax_number": "850-684-3066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUNDSIDE HEARING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-29",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "KOENIGSEDER",
"authorized_official_first_name": "SHERRIE",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-939-9721",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.