Sonia Renee Wade Bannert

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5473 Issued in FL

Practice address

1500 Placida Rd Ste B3
Englewood, FL 34223-4951

Phone

(941) 474-4637

Fax

(941) 999-4283

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (2 of 4)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Lifestyle Hearing Corporation USA Inc

  • Audiologist-Hearing Aid Fitter
  • Palm Beach Gardens, FL
  • NPI 1316338346

  Hearing Instrument Specialist

  NPD (past)
• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD (past)

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1326631920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17966 N TAMIAMI TRL STE 145",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339031414",
            "telephone_number": "239-997-0588",
            "fax_number": "941-999-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLACIDA RD STE B3",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234951",
            "telephone_number": "941-474-4637",
            "fax_number": "941-999-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Jacaranda Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342924501",
            "country_code": "US",
            "telephone_number": "941-492-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE BANNERT",
        "first_name": "SONIA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul R Verde, M.D.
• Robert Vetter, HIS
• James Phillip Villotti Jr., M.D.
• Stephanie Vlahovic, ARNP
• Vincent G. Volpe, LMT, HHP
• James Wade, MD
• Mark Edward Wadsworth
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Hearing Instrument Specialist in Englewood, FL
• Providers in Englewood, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.