Individual provider Active NPI

Heather L Hackney, AU.D

  • Audiologist
  • Jensen Beach, FL
National Provider Identifier
1194985010
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY403 Issued in FL
Practice address
2340 NE Dixie Hwy
Jensen Beach, FL 34957-5952
Phone
(772) 334-2022
Fax
(772) 334-6757
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY403 FL Primary

Addresses

Primary practice location

2340 NE Dixie Hwy
Jensen Beach, FL 34957-5952

Mailing address

2340 NE Dixie Hwy
Jensen Beach, FL 34957-5952
Phone (772) 334-2022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000195 FL Practitioner - Qualified Audiologist 1850451808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2340 NE Dixie Hwy
Jensen Beach, FL 34957-5952
Phone (772) 334-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Audiology Inc Audiologist CurrentSince Nov 20, 2008 Accepting new patients

Locations

2340 NE Dixie Hwy
Jensen Beach, FL 34957
Phone (772) 334-2022

7550 US Highway 1
Vero Beach, FL 32967
Phone (772) 334-2022

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1194985010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575952",
            "telephone_number": "772-334-2022",
            "fax_number": "772-334-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575952",
            "telephone_number": "772-334-2022",
            "fax_number": "772-334-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKNEY",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.