Angela Schenk, AU.D.
Individual provider Active NPI Audiologist · Crystal River, FL
NPI 1154592293 · NPPES record last updated Sep 19, 2013
Key facts
- NPI
- 1154592293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AY1731 (FL)
- Practice address
- 700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877 - Phone
- (352) 795-5377
- Fax
- (352) 795-8663
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Vermont Audiology, Inc
Practice addresses (Care Compare)
81 River St
Suite 103
Montpelier, VT 05602-3750
Phone (802) 229-5868
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130328000291 | FL | Practitioner - Qualified Audiologist | 9032265947 | Reassigns benefits to 2 organizations |
| I20250424000745 | VT | Practitioner - Qualified Audiologist | 9032265947 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1731 | FL | MD | Audiologist |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Community E N T | Current |
Accepting new patients | |
| Dan Gardner Inc | Audiologist | Current |
Accepting new patients |
| Vermont Audiology, Inc. | Audiologist | Current |
Accepting new patients |
| Audiology Distribution, LLC | Past | Accepting new patients | |
| Accent Physician Specialists, P.a. | Past |
Accepting new patients |
Locations
790 SE 5th Ter
Crystal River, FL 34429
Phone (352) 794-0011
790 SE 5th Ter
Ste B
Crystal River, FL 34429
Phone (352) 795-5700
700 SE 5th Ter
Ste 11
Crystal River, FL 34429
Phone (352) 795-5377
20450 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 448-1772
820 S Bea Ave
Inverness, FL 34452
Phone (352) 637-1919
2222 Highway 44 W
Inverness, FL 34453
Phone (352) 419-6565
6215 Abbott Station Dr
Ste 105
Zephyrhills, FL 33542
Phone (813) 782-5395
81 River St
Ste 103
Montpelier, VT 05602
Phone (802) 229-5868
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1731 | FL | Yes |
Addresses
Primary practice location
700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877
Mailing address
700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877
Phone (352) 795-5377
NPI Registry JSON
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1154592293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SE 5TH TER STE 11",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294877",
"telephone_number": "352-795-5377",
"fax_number": "352-795-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SE 5TH TER STE 11",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294877",
"telephone_number": "352-795-5377",
"fax_number": "352-795-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENK",
"first_name": "ANGELA",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.