NPIMap

Organization Active NPI

Florida State University

  • Audiologist
  • Tallahassee, FL
National Provider Identifier
1497946461
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
FLORIDA STATE UNIVERSITY
Practice address
201 W Bloxham St Warren Building
Tallahassee, FL 32306-1200
Phone
(850) 644-2238
Fax
(850) 644-8994
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Kristine Hoover
Title
Office Administrator
Phone
(850) 644-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

201 W Bloxham St Warren Building
Tallahassee, FL 32306-1200

Mailing address

201 W Bloxham St Warren Building
Tallahassee, FL 32306-1200
Phone (850) 644-2238

Other identifiers 1

IdentifierTypeStateIssuer
880606301MedicaidFL

Other names 1

  • FSU Speech & Hearing Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830000258 FL Part B Supplier - Clinic/Group Practice 2163795964 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
Practice locations: Tallahassee, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

201 W Bloxham St
Tallahassee, FL 32301
Phone (850) 644-2238

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1497946461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BLOXHAM ST WARREN BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323061200",
            "telephone_number": "850-644-2238",
            "fax_number": "850-644-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BLOXHAM ST WARREN BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323061200",
            "telephone_number": "850-644-2238",
            "fax_number": "850-644-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-644-8445"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880606301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSU Speech & Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.