Active NPI
Audra Kimberly Berman, M.A.
- Audiologist
- Pembroke Pines, FL
National Provider Identifier
1356382154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 874
- Practice address
- 12385 Pembroke Rd
Suite 102
Pembroke Pines, FL 33025-1723 - Phone
- (954) 435-8820
- Fax
- (954) 450-8185
- NPI assigned
- Jun 10, 2006
- 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 874 | FL | Primary |
Addresses
Primary practice location
12385 Pembroke Rd
Suite 102
Pembroke Pines, FL 33025-1723
Mailing address
PO Box 406153
Atlanta, GA 30384-1876
Phone (561) 478-8770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4899917 | Other | FL | GHI |
| 4000997 | Other | FL | PEDIATRIC ASSOCIATES |
| 600179300 | Medicaid | FL |
Other names 1
- Ms. Audra Kimberly Knee
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY 874 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearusa Inc | Past | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1356382154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 406153",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841876",
"telephone_number": "561-478-8770",
"fax_number": "561-688-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12385 PEMBROKE RD",
"address_2": "SUITE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251723",
"telephone_number": "954-435-8820",
"fax_number": "954-450-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "AUDRA",
"middle_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "4899917",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRIC ASSOCIATES",
"identifier": "4000997",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600179300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AUDRA",
"last_name": "KNEE",
"middle_name": "KIMBERLY",
"prefix": "MS.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.