Active NPI
Kristina Brendzel, MA, CCC-A
- Audiologist
- Tampa, FL
National Provider Identifier
1447409933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1522
- Practice address
- 5 Tampa General Cir
Suite 610
Tampa, FL 33606-3601 - Phone
- (813) 844-4900
- NPI assigned
- Sep 9, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 250 | CO | |
| Audiologist | 231H00000X | AY1522 | FL | Primary |
| Audiologist | 231H00000X | LD60512175 | WA |
Addresses
Primary practice location
5 Tampa General Cir
Suite 610
Tampa, FL 33606-3601
Mailing address
5 Tampa General Cir
Suite 610
Tampa, FL 33606-3601
Phone (813) 844-4900
Other names 1
- Kristina Johnson
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Tampa General Cir
Suite 610
Tampa, FL 33606-3659
Phone (813) 315-4327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250 | CO | MD | Social Worker |
| AY1522 | FL | MD | Audiologist |
| LD60512175 | WA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Boca Raton, FL
- NPI 1164473120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1447409933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TAMPA GENERAL CIR",
"address_2": "SUITE 610",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063601",
"telephone_number": "813-844-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TAMPA GENERAL CIR",
"address_2": "SUITE 610",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063601",
"telephone_number": "813-844-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENDZEL",
"first_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "250",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1522",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60512175",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.