Active NPI
Tressie Waldo, AUD
- Audiologist
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1711
- Practice address
- 1575 Santa Barbara Blvd
The Villages, FL 32159-6820 - Phone
- (352) 674-1740
- Fax
- (352) 674-8940
- NPI assigned
- Sep 20, 2005
- Last updated
- Oct 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50905 | TX | |
| Audiologist | 231H00000X | AY1711 | FL | Primary |
Addresses
Primary practice location
1575 Santa Barbara Blvd
The Villages, FL 32159-6820
Mailing address
1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 91.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50905 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Villages Health System LLC | Current | Accepting new patients |
Locations
5051 SE 110th St
Belleview, FL 34420
Phone (335) 267-4173
1020 Lake Sumter Lndg
The Villages, FL 32162
1575 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 674-1740
280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710
8877 SE 165th Mulberry Ln
The Villages, FL 32162
Phone (352) 674-1750
Interoperability endpoints
- https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
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.
-
dba The Villages Health
- General Practice Physician
- The Villages, FL
- NPI 1699012922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1225023849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 LAKE SUMTER LNDG",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622699",
"telephone_number": "352-674-8905",
"fax_number": "352-674-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 SANTA BARBARA BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596820",
"telephone_number": "352-674-1740",
"fax_number": "352-674-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDO",
"first_name": "TRESSIE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50905",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Wal-Mart Stores East, LP
- Wal-Mart Stores East, LP (Walmart Pharmacy 10-3009)
- Walgreen Co (Walgreens #21204)
- Walgreen Co (Walgreens #11329)
- Walgreen Co (Walgreens #07468)
- Walgreen Co (Walgreens #15495)
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.