Active NPI
Michele Pettorini
- Hearing Instrument Specialist
- Lady Lake, FL
National Provider Identifier
1629923776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5928
- Practice address
- 566 N US Highway 27/441 Unit E
Lady Lake, FL 32159-3726 - Phone
- (352) 450-3735
- NPI assigned
- Mar 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5928 | FL | Primary |
Addresses
Primary practice location
566 N US Highway 27/441 Unit E
Lady Lake, FL 32159-3726
Mailing address
4855 County Road 146 # 54
Wildwood, FL 34785-7977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AS5928 | Other | FL | HIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS5928 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1629923776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 COUNTY ROAD 146 # 54",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 N US HIGHWAY 27/441 UNIT E",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593726",
"telephone_number": "352-450-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTORINI",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIS",
"identifier": "AS5928",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.