Active NPI
Charles Lee Harney, AUDIOLOGIST
- Audiologist
- Melbourne, FL
National Provider Identifier
1447281282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 3134 Lake Washington Rd
Melbourne, FL 32934 - Phone
- (321) 254-9919
- Fax
- (787) 722-0015
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 103 | PR | |
| Audiologist | 231H00000X | FL | Primary |
Addresses
Primary practice location
3134 Lake Washington Rd
Melbourne, FL 32934
Mailing address
10455 Riverside Dr.
Palm Beach Gardens, FL 33410
Phone (561) 478-8770
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2322 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 451710 | Other | PR | CIGNA |
| 660-38-4383 | Other | PR | MCS |
| 250000 | Other | PR | UTI |
| 660-38-4383 | Other | PR | CANADA LIFE |
| 660-38-4383 | Other | PR | TRICARE |
| 450004 | Other | PR | HUMANA HEALTH |
| AD-00103 | Other | PR | UIA |
| 660-38-4383 | Other | PR | PALIC |
| 660384383 | Other | PR | FIRST PLUS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearusa Inc | Past | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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
- West Palm Beach, FL
- NPI 1073560231
-
- Audiologist-Hearing Aid Fitter
- Port Charlotte, FL
- NPI 1184889776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1447281282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10455 RIVERSIDE DR.",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-478-8770",
"fax_number": "561-598-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3134 LAKE WASHINGTON RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32934",
"telephone_number": "321-254-9919",
"fax_number": "787-722-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNEY",
"first_name": "CHARLES",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "AUDIOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "103",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "2322",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "451710",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "660-38-4383",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI",
"identifier": "250000",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CANADA LIFE",
"identifier": "660-38-4383",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "660-38-4383",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH",
"identifier": "450004",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "AD-00103",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC",
"identifier": "660-38-4383",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PLUS",
"identifier": "660384383",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.