Individual provider Active NPI

Amy C Davis, AUD

  • Audiologist
  • Apopka, FL
National Provider Identifier
1447634282
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1935 Issued in FL
Practice address
1120 E Semoran Blvd
Apopka, FL 32703-5523
Phone
(352) 326-5253
Fax
(407) 889-0252
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1935 FL Primary

Addresses

Primary practice location

1120 E Semoran Blvd
Apopka, FL 32703-5523

Mailing address

1120 E Semoran Blvd
Apopka, FL 32703-5523
Phone (352) 326-5253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014001760 FL Practitioner - Qualified Audiologist 4385953322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Audiology LLCGroup PAC ID 1254615560, 2 clinicians

Practice addresses (Care Compare)

1108 W Dixie Ave
Leesburg, FL 34748-6312
Phone (352) 326-5253

200 N Park Ave
Suite B
Apopka, FL 32703-4148
Phone (352) 326-5253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1935FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Audiology LLC Audiologist CurrentSince Aug 1, 2016 Accepting new patients

Locations

200 N Park Ave
Ste B
Apopka, FL 32703
Phone (352) 326-5253

1120 E Semoran Blvd
Apopka, FL 32703
Phone (352) 326-5253

1108 W Dixie Ave
Leesburg, FL 34748
Phone (352) 326-5253

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1447634282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E SEMORAN BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035523",
            "telephone_number": "352-326-5253",
            "fax_number": "407-889-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E SEMORAN BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035523",
            "telephone_number": "352-326-5253",
            "fax_number": "407-889-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.