Individual provider Active NPI

Debra Shadoff

  • Audiologist
  • Palm Springs, FL
National Provider Identifier
1285093583
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY787 Issued in FL
Practice address
2324 S Congress Ave
Suite 2G
Palm Springs, FL 33406-7669
Phone
(561) 366-7219
Fax
(561) 366-7250
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY787 FL Primary

Addresses

Primary practice location

2324 S Congress Ave
Suite 2G
Palm Springs, FL 33406-7669

Mailing address

2324 S Congress Ave
Suite 2G
Palm Springs, FL 33406-7669
Phone (561) 366-7219

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
AY787FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology With a Heart Audiologist Current Accepting new patients

Locations

2324 S Congress Ave
Ste 2G
Palm Springs, FL 33406
Phone (561) 366-7219

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": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1285093583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE",
            "address_2": "SUITE 2G",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067669",
            "telephone_number": "561-366-7219",
            "fax_number": "561-366-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE",
            "address_2": "SUITE 2G",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067669",
            "telephone_number": "561-366-7219",
            "fax_number": "561-366-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADOFF",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.