Individual provider Active NPI

Raquel Caroline Ferreira Lopes Fontanelli, PHD, BC-HIS

  • Hearing Instrument Specialist
  • Winter Haven, FL
National Provider Identifier
1104669357
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5808 Issued in FL
Practice address
510 1St St S
Winter Haven, FL 33880-3601
Phone
(863) 293-6507
Fax
(863) 291-0737
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X AS5808 FL
Hearing Instrument Specialist 237700000X AS5808 FL Primary

Addresses

Primary practice location

510 1St St S
Winter Haven, FL 33880-3601

Mailing address

10375 Vista Oaks CT Unit 409
Orlando, FL 32836-4672
Phone (689) 253-4807

Other practice location 1

10375 Vista Oaks Ct Unit 409
Orlando, FL 32836-4672
Phone (689) 253-4807

Other practice location 2

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone (407) 730-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AS5808FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Health Assistance LLC CurrentSince May 1, 2025 Accepting new patients
Aspire Hearing and Balance LLC Past Accepting new patients

Locations

12139 S Apopka Vineland Rd
Orlando, FL 32836
Phone (407) 535-1313

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1104669357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 VISTA OAKS CT UNIT 409",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328364672",
            "telephone_number": "689-253-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803601",
            "telephone_number": "863-293-6507",
            "fax_number": "863-291-0737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10375 Vista Oaks Ct Unit 409",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328364672",
            "country_code": "US",
            "telephone_number": "689-253-4807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12139 S Apopka Vineland Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328366802",
            "country_code": "US",
            "telephone_number": "407-730-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA LOPES FONTANELLI",
        "first_name": "RAQUEL CAROLINE",
        "credential": "PHD, BC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AS5808",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.