Ericka Devore, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY 1457 Issued in FL

Practice address

1250 W Hwy 434 Ste 1012
Longwood, FL 32750-4969

Phone

(407) 260-1818

Fax

(407) 260-5662

NPI assigned

May 18, 2007

Last updated

Sep 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All About Hearing LLCGroup PAC ID 4880911171, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All About Hearing LLC

  • Audiologist
  • Longwood, FL
  • NPI 1235529025
  Medicare reassignment Care Compare group NPD Authorized official
• All About Hearing LLC

  dba Lake Audiology & Hearing Center

  • Audiologist
  • Mount Dora, FL
  • NPI 1902280167
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1073721452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 E 2ND AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575814",
            "telephone_number": "774-269-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W HWY 434 STE 1012",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504969",
            "telephone_number": "407-260-1818",
            "fax_number": "407-260-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17521 US Highway 441 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576737",
            "country_code": "US",
            "telephone_number": "352-729-0848",
            "fax_number": "352-354-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "ERICKA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 1457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01321829",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Longwood, FL
• Providers in Longwood, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.