Susan E Terry, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY126 Issued in FL

Practice address

4107 5TH Avenue N.
St Petersburg, FL 33711-1140

Phone

(727) 323-2471

Fax

(727) 323-3577

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Broadwater Hearing Care Inc

  • Hearing and Speech Clinic/Center
  • St Petersburg, FL
  • NPI 1467641167

  Audiologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1629127451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 5TH AVENUE N.",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-323-2471",
            "fax_number": "727-323-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 5TH AVENUE N.",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111140",
            "telephone_number": "727-323-2471",
            "fax_number": "727-323-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087001300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Angel Terron Correa, MD
• Ayla Terrusa
• Terry Golden, D.C., P.L. (ChiropracticUSA)
• Erin Terry, LMFT
• Nancy J Terry, LPC,NCC,ADTR
• Michael Ray Tesmer, D.M.D., M.S.
• Laura Testiler, PSY.D.
• Leo R Teytelbaum, M.D.
• Robert E. Thacker, M.D.
• Dalena Thai, MD

• Audiologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.