Active NPI
Michelle Therese Modisett, AU.D.
- Audiologist
- Sarasota, FL
National Provider Identifier
1427289289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 1571
- Practice address
- 1901 Floyd St
Sarasota, FL 34239-2932 - Phone
- (941) 224-3674
- Fax
- (941) 761-8721
- NPI assigned
- Jul 28, 2009
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 1571 | FL | Primary |
Addresses
Primary practice location
1901 Floyd St
Sarasota, FL 34239-2932
Mailing address
1901 Floyd St
Sarasota, FL 34239-2932
Phone (941) 224-3674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN, GA
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2137 | TN | MD | Physical Therapy Assistant |
| AY 1571 | FL | MD | Audiologist |
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": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1427289289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 FLOYD ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392932",
"telephone_number": "941-224-3674",
"fax_number": "941-761-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 FLOYD ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392932",
"telephone_number": "941-224-3674",
"fax_number": "941-761-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODISETT",
"first_name": "MICHELLE",
"middle_name": "THERESE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 1571",
"primary": true
}
],
"identifiers": [],
"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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.