Individual provider Active NPI

Alyssa R Needleman, PHD

  • Audiologist
  • Davie, FL
National Provider Identifier
1184896136
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1839 Issued in FL
Practice address
3200 S University Dr
Department of Audiology
Davie, FL 33328-2018
Phone
(954) 262-7764
Fax
(954) 262-3987
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2582 CA
Audiologist 231H00000X AY1839 FL Primary

Addresses

Primary practice location

3200 S University Dr
Department of Audiology
Davie, FL 33328-2018

Mailing address

3200 S University Dr
Department of Audiology
Davie, FL 33328-2018
Phone (954) 262-7764

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709000814 FL Practitioner - Qualified Audiologist 3971728841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AU2582CAMDAudiologist
AY1839FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc CurrentSince Feb 17, 2014 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients

Locations

3200 S University Dr
#L
Davie, FL 33328

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

3200 S University Dr
Fl 1
Davie, FL 33328

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1184896136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "DEPARTMENT OF AUDIOLOGY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-7764",
            "fax_number": "954-262-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "DEPARTMENT OF AUDIOLOGY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-7764",
            "fax_number": "954-262-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDLEMAN",
        "first_name": "ALYSSA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2582",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.