Individual provider Active NPI

Renee Toye Neely, MS

  • Audiologist
  • Pembroke Pines, FL
National Provider Identifier
1124355607
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1006 Issued in FL
Practice address
15800 Pines Blvd Ste 347
Pembroke Pines, FL 33027-1212
Phone
(954) 362-5212
Fax
(954) 212-0217
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1006 FL Primary

Addresses

Primary practice location

15800 Pines Blvd Ste 347
Pembroke Pines, FL 33027-1212

Mailing address

15800 Pines Blvd Ste 347
Pembroke Pines, FL 33027-1212
Phone (954) 362-5212

Other practice location 1

1601 Clint Moore Rd
Suite 215
Boca Raton, FL 33487-2768
Phone (561) 391-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000681 FL Practitioner - Qualified Audiologist 9032251400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AY1006FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freshearing LLC Audiologist CurrentSince Apr 30, 2003 Accepting new patients

Locations

1701 Mayo St
Hollywood, FL 33020
Phone (954) 505-2200

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

15800 Pines Blvd
Ste 347
Pembroke Pines, FL 33027
Phone (954) 362-5212

Organizations & group practices 1

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1124355607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 347",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "954-362-5212",
            "fax_number": "954-212-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 347",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "954-362-5212",
            "fax_number": "954-212-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Clint Moore Rd",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334872768",
            "country_code": "US",
            "telephone_number": "561-391-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "RENEE",
        "middle_name": "TOYE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.