Individual provider Active NPI

Maija Sweeney, AU.D.

  • Audiologist
  • Melbourne, FL
National Provider Identifier
1366583239
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1053 Issued in FL
Practice address
1344 S. Apollo Blvd
Suite 301
Melbourne, FL 32901
Phone
(321) 676-2353
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1053 FL Primary

Addresses

Primary practice location

1344 S. Apollo Blvd
Suite 301
Melbourne, FL 32901

Mailing address

1344 S Apollo Blvd
Suite 301
Melbourne, FL 32901-3183
Phone (321) 676-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090225000231 FL Practitioner - Qualified Audiologist 6103982293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Hawaii John a. Burns School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Space Coast Hearing and Balance, Inc.Group PAC ID 5395996482, 2 clinicians

Practice addresses (Care Compare)

1344 S Apollo Blvd
Suite 301
Melbourne, FL 32901-3185
Phone (321) 309-2806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1053FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Space Coast Hearing and Balance, Inc. Audiologist CurrentSince Jun 15, 2012 Accepting new patients
Omni Healthcare, Inc. Past Accepting new patients
Space Coast Ear Nose and Throat Associates Past Accepting new patients

Locations

1344 S Apollo Blvd
Ste 301
Melbourne, FL 32901
Phone (321) 309-2806

1684 W Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 676-2353

Organizations & group practices 3

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1366583239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD",
            "address_2": "SUITE 301",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013183",
            "telephone_number": "321-676-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 S. APOLLO BLVD",
            "address_2": "SUITE 301",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-676-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MAIJA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.