Active NPI
Raymond Acevedo
- Hearing Instrument Specialist
- South Pasadena, FL
National Provider Identifier
1376006478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5421
- Practice address
- 6800 Gulfport Blvd S Ste 213
South Pasadena, FL 33707-2156 - Phone
- (727) 289-1847
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5421 | FL | Primary |
Addresses
Primary practice location
6800 Gulfport Blvd S Ste 213
South Pasadena, FL 33707-2156
Mailing address
6800 Gulfport Blvd S Ste 213
South Pasadena, FL 33707-2156
Phone (727) 289-1847
Other practice location 1
1541 S Highland Ave
Clearwater, FL 33756-2393
Phone (727) 475-9249
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS5421 | FL | MD | Hearing Instrument Specialist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1376006478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 GULFPORT BLVD S STE 213",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337072156",
"telephone_number": "727-289-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 GULFPORT BLVD S STE 213",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337072156",
"telephone_number": "727-289-1847"
}
],
"practiceLocations": [
{
"address_1": "1541 S Highland Ave",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337562393",
"country_code": "US",
"telephone_number": "727-475-9249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACEVEDO",
"first_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.