Individual provider Active NPI

Casey Bean, AUDIOLOGY ASSISTANT

  • Audiology Assistant
  • Bradenton, FL
National Provider Identifier
1477075901
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiology AssistantTaxonomy code 2355A2700X
License
AI162 Issued in FL
Practice address
4626 26TH St W
Bradenton, FL 34207-1701
Phone
(941) 755-5535
Fax
(941) 756-1000
NPI assigned
Jul 17, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS4915 FL
Audiology Assistant 2355A2700X AI162 FL Primary

Addresses

Primary practice location

4626 26TH St W
Bradenton, FL 34207-1701

Mailing address

4626 26TH St W
Bradenton, FL 34207-1701
Phone (941) 755-5535

Other practice location 1

1416 Fruitville Rd
Sarasota, FL 34236-4912
Phone (941) 866-6253

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AI162FLMDAudiology Assistant
AS4915FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Aid Systems Inc PastSince Jul 31, 2007 Accepting new patients

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477075901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071701",
            "telephone_number": "941-755-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071701",
            "telephone_number": "941-755-5535",
            "fax_number": "941-756-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Fruitville Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342364912",
            "country_code": "US",
            "telephone_number": "941-866-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "CASEY",
        "credential": "AUDIOLOGY ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4915",
            "primary": false
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "FL",
            "license": "AI162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.