Individual provider Active NPI

Danielle M Sacchinelli, AU.D.

  • Audiologist
  • Tampa, FL
National Provider Identifier
1215415054
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2208 Issued in FL
Practice address
508 S Habana Ave Ste 170
Tampa, FL 33609-4190
Phone
(813) 877-3100
Fax
(813) 877-3800
NPI assigned
Aug 3, 2018
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2208 FL Primary

Addresses

Primary practice location

508 S Habana Ave Ste 170
Tampa, FL 33609-4190

Mailing address

508 S Habana Ave Ste 170
Tampa, FL 33609-4190
Phone (813) 877-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113000580 FL Practitioner - Qualified Audiologist 3870847775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2208FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Florida, LLC CurrentSince Feb 17, 2020 Accepting new patients

Locations

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

4655 Keysville Ave
Spring Hill, FL 34608
Phone (352) 666-1913

508 S Habana Ave
Ste 170
Tampa, FL 33609
Phone (813) 877-3100

5105 N Armenia Ave
Tampa, FL 33603
Phone 81387980451213

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, 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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1215415054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 170",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094190",
            "telephone_number": "813-877-3100",
            "fax_number": "813-877-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 170",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094190",
            "telephone_number": "813-877-3100",
            "fax_number": "813-877-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCHINELLI",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.