Individual provider Active NPI

Victoria L Moore, FAAA-CCC-A.,BC-HIS

  • Audiologist
  • Sarasota, FL
National Provider Identifier
1427277318
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1434 Issued in FL
Practice address
1416 Fruitville Rd
Sarasota, FL 34236-4912
Phone
(941) 366-4848
Fax
(419) 366-4949
NPI assigned
Apr 25, 2007
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1434 FL Primary
Hearing Instrument Specialist 237700000X AS2887 FL

Addresses

Primary practice location

1416 Fruitville Rd
Sarasota, FL 34236-4912

Mailing address

1416 Fruitville Rd
Sarasota, FL 34236-4912
Phone (941) 366-4848

Other identifiers 3

IdentifierTypeStateIssuer
AY1434OtherFLAUDIOLOGIST
6005268 00MedicaidFL
AS2887OtherFLHEARING INST. SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071201000109 FL Practitioner - Qualified Audiologist 4587753397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1416 Fruitville Rd
Sarasota, FL 34236-4912
Phone (941) 366-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1434FLMDAudiologist
AS2887FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Aid Systems Inc Audiologist CurrentSince Jul 31, 2007 Accepting new patients

Locations

4626 26th St W
Bradenton, FL 34207
Phone (941) 232-1290

6024 14th St W
Bradenton, FL 34207
Phone (941) 366-4848

1416 Fruitville Rd
Sarasota, FL 34236
Phone (941) 366-4848

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1427277318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364912",
            "telephone_number": "941-366-4848",
            "fax_number": "941-366-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364912",
            "telephone_number": "941-366-4848",
            "fax_number": "419-366-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "FAAA-CCC-A.,BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1434",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2887",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "AY1434",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005268 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INST. SPECIALIST",
            "identifier": "AS2887",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.