Marissa Lynn Levy, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

4086 Issued in SC

Practice address

403 Vonderburg Dr
Brandon, FL 33511-5501

Phone

(813) 681-1122

Fax

(813) 684-4924

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1306839725

  FL

  Medicare reassignment Care Compare group NPD
• Coastal Carolina Otolaryngology Associates,PA

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Myrtle Beach, SC
  • NPI 1497717086

  SC

  Medicare reassignment NPD
• Grand Strand Hearing, LLC

  • Audiologist
  • North Myrtle Beach, SC
  • NPI 1790161669
  Medicare reassignment NPD
• Gregory L Henderson MD Facs Inc

  • Optometrist
  • Ruskin, FL
  • NPI 1306830799
  Care Compare group NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1952139347
  Care Compare group NPD
• Audpractice Group

  • Hearing and Speech Clinic/Center
  • Greensboro, NC
  • NPI 1851825236

  Audiologist

  NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1144214552
  NPD (past)
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Sun City Center, FL
  • NPI 1821082249
  NPD (past)
• Carolina Speech and Hearing, Inc.

  • Audiologist
  • West Columbia, SC
  • NPI 1376054908
  NPD (past)
• Speech and Language Therapy Services, LLC

  • Hearing and Speech Clinic/Center
  • North Myrtle Beach, SC
  • NPI 1790054443
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1124543756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 2nd Ave N Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295823287",
            "country_code": "US",
            "telephone_number": "843-732-6090",
            "fax_number": "843-491-3573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3115 W Swann Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094617",
            "country_code": "US",
            "telephone_number": "813-492-2020",
            "fax_number": "813-492-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Rickenbacker Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735363",
            "country_code": "US",
            "telephone_number": "813-634-8877",
            "fax_number": "813-634-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MARISSA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "4086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Levicoff, DMD
• Brittany Levin, AU.D
• Jane Levine, PT
• Greg Levitt, MSW
• Amanda Levy, LMHC
• Tania Levy
• Nicole Elizabeth Lewandrowski, MD
• Adam Lewis, APRN
• Brenda Lewis
• Dakota Rhea Lewis, OD

• All providers in Brandon, FL
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.