Individual provider Active NPI

Heather Ann Hall, AU.D.

  • Audiologist
  • Tampa, FL
National Provider Identifier
1578737011
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1454 Issued in FL
Practice address
3000 Medical Park Dr Ste 200
Tampa, FL 33613
Phone
(813) 879-8045
Fax
(813) 978-3667
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1454 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 200
Tampa, FL 33613

Mailing address

10002 Princess Palm Ave Ste 332
Tampa, FL 33619-8327
Phone (813) 571-7184

Other practice location 1

5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045 ext. 215

Other practice location 2

26853 Foggy Creek Rd Ste 101
Wesley Chapel, FL 33544-6777
Phone (813) 879-8045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000547 FL Practitioner - Qualified Audiologist 7113094632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

1139 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 879-8045

1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722

26853 Foggy Creek Rd
Suite 101
Wesley Chapel, FL 33544-6777
Phone (813) 879-8045

3000 Medical Park Dr
Suite 200
Tampa, FL 33613-4695
Phone (813) 879-8045

5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1578737011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 PRINCESS PALM AVE STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198327",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-879-8045",
            "fax_number": "813-978-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5105 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336031405",
            "country_code": "US",
            "telephone_number": "813-879-8045 x215",
            "fax_number": "813-876-6504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26853 Foggy Creek Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446777",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-978-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.