Individual provider Active NPI

Louis Wolfe Valentine, AU.D., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Largo, FL
National Provider Identifier
1477875599
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AY1907 Issued in FL
Practice address
861 W Bay Dr
Largo, FL 33770-3221
Phone
(727) 518-1111
Fax
(727) 518-1110
NPI assigned
Feb 16, 2010
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AY1907 FL Primary

Addresses

Primary practice location

861 W Bay Dr
Largo, FL 33770-3221

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other practice location 1

4046 Cattlemen Rd
Sarasota, FL 34233-5033
Phone (941) 342-9228

Other practice location 2

3173 4th St N
St Petersburg, FL 33704-2124
Phone (727) 822-2132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170424001227 FL Practitioner - Qualified Audiologist 5395068118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1907FLMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC Audiologist-Hearing Aid Fitter CurrentSince Aug 18, 2017 Accepting new patients
Hearusa Inc Audiologist-Hearing Aid Fitter Past Accepting new patients
Jacksonville Speech & Hearing Center, Inc. Past Accepting new patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

1330 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 216-0700

1010 N Davis St
Ste 101
Jacksonville, FL 32209
Phone (904) 355-3403

2966 Aventura Blvd
Miami, FL 33180
Phone (305) 931-8382

1900 Tamiami Trl
Unit 109
Port Charlotte, FL 33948
Phone (941) 743-5211

1901 Floyd St
Sarasota, FL 34239
Phone (941) 366-9222

1430 66th St N
St Petersburg, FL 33710
Phone (727) 343-3019

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1477875599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703221",
            "telephone_number": "727-518-1111",
            "fax_number": "727-518-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4046 Cattlemen Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342335033",
            "country_code": "US",
            "telephone_number": "941-342-9228",
            "fax_number": "941-342-1301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3173 4th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337042124",
            "country_code": "US",
            "telephone_number": "727-822-2132",
            "fax_number": "727-821-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "LOUIS",
        "middle_name": "WOLFE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.

Verify at the official NPI Registry.