Active NPI
Debra Busacco
- Audiologist-Hearing Aid Fitter
- Winter Park, FL
National Provider Identifier
1396429981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AT006255
- Practice address
- 925 S Semoran Blvd Ste 110a
Winter Park, FL 32792-5313 - Phone
- (800) 521-9604
- NPI assigned
- Jun 14, 2023
- Last updated
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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-Hearing Aid Fitter | 237600000X | AT006255 | PA | Primary |
Addresses
Primary practice location
925 S Semoran Blvd Ste 110a
Winter Park, FL 32792-5313
Mailing address
925 S Semoran Blvd
Winter Park, FL 32792-5313
Phone (570) 906-4986
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 |
|---|---|---|---|
| AT006255 | PA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1396429981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 S SEMORAN BLVD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925313",
"telephone_number": "570-906-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 S SEMORAN BLVD STE 110A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925313",
"telephone_number": "800-521-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSACCO",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "AT006255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.