NPIMap

Organization Active NPI

Sweetie Peetie LLC

Doing business as Palm Coast Hearing Center

  • Hearing Instrument Specialist
  • Palm Coast, FL
National Provider Identifier
1578101481
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
SWEETIE PEETIE LLC
Doing business as
Palm Coast Hearing Center
Practice address
160 Cypress Point Parkway
Ste A108
Palm Coast, FL 32164
Phone
(386) 283-4932
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Mr. Virgil Wayne Baker, BC-HIS
Title
Owner
Phone
(904) 553-8033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

160 Cypress Point Parkway
Ste A108
Palm Coast, FL 32164

Mailing address

160 Cypress Point Parkway
Ste A108
Palm Coast, FL 32164
Phone (386) 283-4932

Other names 1

  • Palm Coast Hearing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Flagler Hearing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1578101481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PARKWAY",
            "address_2": "STE A108",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "386-283-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PARKWAY",
            "address_2": "STE A108",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "386-283-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETIE PEETIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-553-8033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Coast Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.