Active NPI
Julie Ann Coudurier, AU.D.
- Audiologist
- Tampa, FL
National Provider Identifier
1285863159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 1295
- Practice address
- 7001 N Dale Mabry Hwy
#2
Tampa, FL 33614-3910 - Phone
- (813) 558-4920
- Fax
- (813) 558-4921
- NPI assigned
- Jul 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 1295 | FL | Primary |
Addresses
Primary practice location
7001 N Dale Mabry Hwy
#2
Tampa, FL 33614-3910
Mailing address
6906 W Linebaugh Ave Ste 101
Tampa, FL 33625-5830
Phone (813) 962-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002240200 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AY 1295 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Hearing Group LLC | Audiologist | Current | Accepting new patients |
Locations
6906 W Linebaugh Ave
Ste 101
Tampa, FL 33625
Phone (813) 962-1888
15310 Amberly Dr
Ste 170
Tampa, FL 33647
Phone (813) 374-3036
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": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1285863159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6906 W LINEBAUGH AVE STE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336255830",
"telephone_number": "813-962-1888",
"fax_number": "813-369-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 N DALE MABRY HWY",
"address_2": "#2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143910",
"telephone_number": "813-558-4920",
"fax_number": "813-558-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUDURIER",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 1295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002240200",
"state": "FL"
}
],
"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 Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.