NPIMap

Individual provider Active NPI

Marla G Leger, HIS/HAS

  • Hearing Instrument Specialist
  • Winter Haven, FL
National Provider Identifier
1376889832
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS-4773 Issued in FL
Practice address
816 Spring Lake SQ
Winter Haven, FL 33881-1338
Phone
(863) 293-0703
Fax
(863) 293-0815
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS-4773 FL Primary

Addresses

Primary practice location

816 Spring Lake SQ
Winter Haven, FL 33881-1338

Mailing address

816 Spring Lake SQ
Winter Haven, FL 33881-1338
Phone (863) 293-0703

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

LicenseStateTypeSpecialty
AS-4773FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Americas Hearing Group LLC Past Accepting new patients
PJC Coastal Hearing, LLC Hearing Instrument Specialist 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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1376889832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 SPRING LAKE SQ",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811338",
            "telephone_number": "863-293-0703",
            "fax_number": "863-293-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 SPRING LAKE SQ",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811338",
            "telephone_number": "863-293-0703",
            "fax_number": "863-293-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "MARLA",
        "middle_name": "G",
        "credential": "HIS/HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS-4773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.