Active NPI
Victoria L Moore, FAAA-CCC-A.,BC-HIS
- Audiologist
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1434
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY1434 | Other | FL | AUDIOLOGIST |
| 6005268 00 | Medicaid | FL | |
| AS2887 | Other | FL | HEARING INST. SPECIALIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AY1434 | FL | MD | Audiologist |
| AS2887 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Aid Systems Inc | Audiologist | Current | 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.