Individual provider Active NPI

Wayne Allen Stephenson

  • Hearing Instrument Specialist
  • Cape Coral, FL
National Provider Identifier
1386148252
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
5347 Issued in FL
Practice address
1751 NE Pine Island Rd Ste 140
Cape Coral, FL 33909-1773
Phone
(239) 677-4646
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 5347 FL
Hearing Instrument Specialist 237700000X 5347 FL Primary

Addresses

Primary practice location

1751 NE Pine Island Rd Ste 140
Cape Coral, FL 33909-1773

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529

Other practice location 1

6120 Winkler Rd Ste H
Fort Myers, FL 33919-8192
Phone (239) 337-4327

Other practice location 2

840 111th Ave N Ste 4
Naples, FL 34108-1868
Phone (239) 260-1318

Other practice location 3

2705 Tamiami Trl Unit 211
Punta Gorda, FL 33950-6988
Phone (941) 757-2399

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
5347FLMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 1

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1386148252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "612-351-1529",
            "fax_number": "952-285-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 NE PINE ISLAND RD STE 140",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091773",
            "telephone_number": "239-677-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6120 Winkler Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339198192",
            "country_code": "US",
            "telephone_number": "239-337-4327",
            "fax_number": "239-337-3276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 111th Ave N Ste 4",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341081868",
            "country_code": "US",
            "telephone_number": "239-260-1318",
            "fax_number": "239-260-1319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 Tamiami Trl Unit 211",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339506988",
            "country_code": "US",
            "telephone_number": "941-757-2399",
            "fax_number": "941-575-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "WAYNE",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "5347",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "5347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.