Active NPI
Gia Santivasi, AUD
- Audiologist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2526
- Practice address
- 6827 1St Ave S Ste 100
St Petersburg, FL 33707-1242 - Phone
- (727) 341-0551
- NPI assigned
- Oct 26, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001805 | VA | |
| Audiologist | 231H00000X | AY2526 | FL | Primary |
Addresses
Primary practice location
6827 1St Ave S Ste 100
St Petersburg, FL 33707-1242
Mailing address
6827 1St Ave S Ste 100
St Petersburg, FL 33707-1242
Phone (727) 341-0551
Other practice location 1
6355 Walker Ln Ste 411
Alexandria, VA 22310-3250
Phone (703) 922-4262
Other practice location 2
2616 Sherwood Hall Ln Ste 408
Alexandria, VA 22306-3154
Phone (703) 780-8929
Other practice location 3
900 Carillon Pkwy Ste 300
St Petersburg, FL 33716-1118
Phone (727) 341-0551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4600 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7529
Phone (919) 787-1374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY2526 | FL | MD | Audiologist |
| 2201001805 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Capitol Ear, Nose, and Throat | Current | Accepting new patients | |
| Capitol Ear, Nose & Throat | Audiologist | Past | Accepting new patients |
Locations
4600 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 420-2027
4600 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 787-1374
10208 Cerny St
Ste 300
Raleigh, NC 27617
Phone (919) 354-1290
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Raleigh, NC
- NPI 1902170442
-
- Otolaryngology/Facial Plastic Surgery Physician
- Raleigh, NC
- NPI 1477554327
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1639778129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6827 1ST AVE S STE 100",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071242",
"telephone_number": "727-341-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6827 1ST AVE S STE 100",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071242",
"telephone_number": "727-341-0551"
}
],
"practiceLocations": [
{
"address_1": "6355 Walker Ln Ste 411",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223103250",
"country_code": "US",
"telephone_number": "703-922-4262",
"fax_number": "703-921-1056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2616 Sherwood Hall Ln Ste 408",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223063154",
"country_code": "US",
"telephone_number": "703-780-8929",
"fax_number": "703-780-7019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Carillon Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337161118",
"country_code": "US",
"telephone_number": "727-341-0551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIVASI",
"first_name": "GIA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001805",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.