Individual provider Active NPI

Brittany Komes, AU.D.

  • Audiologist
  • Fort Myers, FL
National Provider Identifier
1093172660
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY 2006 Issued in FL
Practice address
43 Barkley Cir
Fort Myers, FL 33907-4510
Phone
(239) 936-1616
NPI assigned
Jan 27, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY 2006 FL Primary

Addresses

Primary practice location

43 Barkley Cir
Fort Myers, FL 33907-4510

Mailing address

39 Barkley Cir
Fort Myers, FL 33907-7531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510001286 OH Practitioner - Qualified Audiologist 2365749348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY 2006FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
My Hearing Centers, LLC CurrentSince Feb 1, 2023 Accepting new patients
Innovative Hearing, Inc. Audiologist Past Accepting new patients

Locations

2845 N Ridge Rd E
Ashtabula, OH 44004
Phone (440) 721-5216

9875 Johnnycake Ridge Rd
Mentor, OH 44060
Phone (440) 358-1559

35104 Euclid Ave
Ste 100
Willoughby, OH 44094
Phone (440) 721-5216

1705 Main St
Ste 100
Baker City, OR 97814
Phone (541) 253-4550

2296 NW Kings Blvd
Ste 102
Corvallis, OR 97330
Phone (541) 757-2500

8941 S 700 E
Sandy, UT 84070
Phone (732) 688-6486

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1093172660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074510",
            "telephone_number": "239-936-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMES",
        "first_name": "BRITTANY",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.

Verify at the official NPI Registry.