Active NPI
Madison Danielle Puls, HAS, B.S.
- Hearing Instrument Specialist
- Palm Harbor, FL
National Provider Identifier
1417428681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5407
- Practice address
- 33385 US Highway 19 N
Palm Harbor, FL 34684-3128 - Phone
- (727) 781-1760
- Fax
- (727) 786-8477
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- 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 | AS5407 | FL | Primary |
Addresses
Primary practice location
33385 US Highway 19 N
Palm Harbor, FL 34684-3128
Mailing address
15702 Crying Wind Dr
Tampa, FL 33624-1559
Phone (813) 928-5204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101791300 | Medicaid | FL | |
| 14389864 | Other | FL | CAQH |
Other names 1
- Madison Danielle Rafols
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS5407 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1417428681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15702 CRYING WIND DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241559",
"telephone_number": "813-928-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33385 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843128",
"telephone_number": "727-781-1760",
"fax_number": "727-786-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULS",
"first_name": "MADISON",
"middle_name": "DANIELLE",
"credential": "HAS, B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101791300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14389864",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "RAFOLS",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.