Individual provider Active NPI

Kayla Ann Dub, AUD, CCC-A

  • Audiologist
  • Clearwater, FL
National Provider Identifier
1316553449
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2347 Issued in FL
Practice address
4625 E Bay Dr
Clearwater, FL 33764-5738
Phone
(727) 953-3248
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2347 FL Primary

Addresses

Primary practice location

4625 E Bay Dr
Clearwater, FL 33764-5738

Mailing address

4625 E Bay Dr Ste 305
Clearwater, FL 33764-5747
Phone (279) 533-4917

Other names 1

  • Dr. Kayla Ann Dub Professional name

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

LicenseStateTypeSpecialty
AY2347FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1316553449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E BAY DR STE 305",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337645747",
            "telephone_number": "279-533-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 E BAY DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337645738",
            "telephone_number": "727-953-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUB",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "DUB",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "AUD, CCC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.