Individual provider Active NPI

Gia Santivasi, AUD

  • Audiologist
  • St Petersburg, FL
National Provider Identifier
1639778129
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2526 Issued in FL
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

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250925002845 NC Practitioner - Qualified Audiologist 1759792617 Reassigns benefits to 1 organization

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
Raleigh Capitol Ear Nose and ThroatGroup PAC ID 2860657509, 28 clinicians

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

LicenseStateTypeSpecialty
AY2526FLMDAudiologist
2201001805VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Capitol Ear, Nose, and Throat CurrentSince Aug 1, 2025 Accepting new patients
Capitol Ear, Nose & Throat Audiologist PastSince Aug 1, 2025 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.

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.

Verify at the official NPI Registry.