Individual provider Active NPI

Desirea Rose Grochola, HAS

  • Hearing Instrument Specialist
  • Pensacola, FL
National Provider Identifier
1255122164
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5892 Issued in FL
Practice address
6024 N 9TH Ave Ste 3
Pensacola, FL 32504-8281
Phone
(850) 477-5935
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5892 FL Primary

Addresses

Primary practice location

6024 N 9TH Ave Ste 3
Pensacola, FL 32504-8281

Mailing address

6024 N 9TH Ave Ste 3
Pensacola, FL 32504-8281
Phone (850) 477-5935

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS5892FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1255122164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 N 9TH AVE STE 3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048281",
            "telephone_number": "850-477-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 N 9TH AVE STE 3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048281",
            "telephone_number": "850-477-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCHOLA",
        "first_name": "DESIREA",
        "middle_name": "ROSE",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.