Organization Active NPI

Audiology Associates of Tampa Bay LLC

  • Audiologist
  • Tampa, FL
National Provider Identifier
1558707448
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY986 Issued in FL
Legal business name
AUDIOLOGY ASSOCIATES OF TAMPA BAY LLC
Practice address
2901 W Busch Blvd
Suite 916-E
Tampa, FL 33618-4523
Phone
(813) 293-0409
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Heather Riikonen, AUD
Title
Owner/Audiologist
Phone
(813) 293-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AY986 FL Primary

Addresses

Primary practice location

2901 W Busch Blvd
Suite 916-E
Tampa, FL 33618-4523

Mailing address

3837 Northdale Blvd
Suite 367
Tampa, FL 33624-1841

Other identifiers 1

IdentifierTypeStateIssuer
600349400MedicaidFL

National Provider Directory

National Provider Directory

Locations

3837 Northdale Blvd
Ste 367
Tampa, FL 33624

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1558707448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 NORTHDALE BLVD",
            "address_2": "SUITE 367",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W BUSCH BLVD",
            "address_2": "SUITE 916-E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184523",
            "telephone_number": "813-293-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ASSOCIATES OF TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "RIIKONEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "813-293-0409",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600349400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2013; 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.