Individual provider Active NPI

Rebecca Ann Ratliff, AUD

  • Audiologist
  • Pensacola, FL
National Provider Identifier
1124308366
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1744 Issued in FL
Practice address
5153 North 9TH Ave.
Nemours Childrens Clinic, Pensacola
Pensacola, FL 32504-8785
Phone
(850) 505-4735
Fax
(850) 505-4711
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003861 GA
Audiologist 231H00000X AY1744 FL Primary

Addresses

Primary practice location

5153 North 9TH Ave.
Nemours Childrens Clinic, Pensacola
Pensacola, FL 32504-8785

Mailing address

P.O. Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (302) 651-6718

Other identifiers 1

IdentifierTypeStateIssuer
S00WUOtherFLBCBS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000261 FL Practitioner - Qualified Audiologist 9335311778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Services Company USA LLCGroup PAC ID 9032414701, 5 clinicians

Practice addresses (Care Compare)

3754 Hwy 90
Suite 350
Pace, FL 32571-1098
Phone (850) 889-4261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AUD003861GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Aug 26, 2018 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Aug 26, 2018 Accepting new patients

Locations

3754 Highway 90
Ste 350
Pace, FL 32571
Phone (850) 889-4261

3375 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 624-7525

5147 N 9th Ave
Ste 315
Pensacola, FL 32504
Phone (850) 473-0112

3819 Murrell Rd
Ste B
Rockledge, FL 32955
Phone (321) 252-1412

1106 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 724-1877

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

2501 Cottontail Ln
Ste 101
Somerset, NJ 08873
Phone (801) 918-8544

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1124308366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPARTMENT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6718",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 NORTH 9TH AVE.",
            "address_2": "NEMOURS CHILDRENS CLINIC, PENSACOLA",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048785",
            "telephone_number": "850-505-4735",
            "fax_number": "850-505-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003861",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "S00WU",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.