Individual provider Active NPI

Marykate Bisaillon, AUD

  • Audiologist
  • Plantation, FL
National Provider Identifier
1205303443
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2230 Issued in FL
Practice address
8100 SW 10TH St Ste 1000
Plantation, FL 33324-3277
Phone
(954) 210-1141
Fax
(954) 210-1067
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2230 FL Primary

Addresses

Primary practice location

8100 SW 10TH St Ste 1000
Plantation, FL 33324-3277

Mailing address

8100 SW 10TH St Ste 1000
Plantation, FL 33324-3277
Phone (954) 210-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2230FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates of South Florida Inc. Audiologist PastSince Feb 15, 2009 Accepting new patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients
University of Miami Hospital and Clinics PastSince Aug 25, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1205303443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 SW 10TH ST STE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243277",
            "telephone_number": "954-210-1141",
            "fax_number": "954-210-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SW 10TH ST STE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243277",
            "telephone_number": "954-210-1141",
            "fax_number": "954-210-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISAILLON",
        "first_name": "MARYKATE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.