Individual provider Active NPI

Jill Warnecke Cardinal, AU.D.

  • Audiologist
  • Sarasota, FL
National Provider Identifier
1184704538
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY505 Issued in FL
Practice address
2650 S Tamiami TRL
Sarasota, FL 34239-4503
Phone
(941) 953-4855
Fax
(941) 951-2445
NPI assigned
Oct 17, 2006
Last updated
Mar 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY505 FL Primary

Addresses

Primary practice location

2650 S Tamiami TRL
Sarasota, FL 34239-4503

Mailing address

PO Box 406153
Atlanta, GA 30384-1876
Phone (561) 478-8770

Other identifiers 1

IdentifierTypeStateIssuer
600156400MedicaidFL

Other names 1

  • Jill Corrie Warnecke Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000069 FL Practitioner - Qualified Audiologist 1153416409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Hearing Group LLCGroup PAC ID 8325413677, 8 clinicians

Practice addresses (Care Compare)

183 Ctr Rd
Venice, FL 34285-5572
Phone (941) 496-9277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hearing Group LLC Audiologist CurrentSince Jun 1, 2023 Accepting new patients
Florida Otolaryngology Group, P.a. CurrentSince Oct 3, 2012 Accepting new patients
Hearusa Inc Past Accepting new patients
Audiology and Hearing Center of Tampa LLC Audiologist PastSince Mar 1, 2020 Accepting new patients

Locations

1781 Park Center Dr
Ste 210
Orlando, FL 32835
Phone (407) 351-0675

15310 Amberly Dr
Ste 170
Tampa, FL 33647
Phone (813) 374-3036

183 Center Rd
Venice, FL 34285
Phone (941) 496-9277

7251 University Blvd
Ste 300
Winter Park, FL 32792
Phone (407) 677-0099

149 Plantation Ridge Dr
Ste 110
Mooresville, NC 28117

149 Plantation Ridge Dr
Ste 140
Mooresville, NC 28117

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1184704538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406153",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "561-478-8770",
            "fax_number": "561-688-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394503",
            "telephone_number": "941-953-4855",
            "fax_number": "941-951-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDINAL",
        "first_name": "JILL",
        "middle_name": "WARNECKE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600156400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "WARNECKE",
            "middle_name": "CORRIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.