Individual provider Active NPI

Justin Amir Sreekrisenjee, HIS

  • Hearing Instrument Specialist
  • Leesburg, FL
National Provider Identifier
1659293140
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5992 Issued in FL
Practice address
713 N 14TH St
Leesburg, FL 34748-4205
Phone
(352) 314-8805
Fax
(407) 650-3065
NPI assigned
Jul 28, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5992 FL Primary

Addresses

Primary practice location

713 N 14TH St
Leesburg, FL 34748-4205

Mailing address

713 N 14TH St
Leesburg, FL 34748-4205
Phone (352) 314-8805

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

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1659293140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N 14TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484205",
            "telephone_number": "352-314-8805",
            "fax_number": "407-650-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N 14TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484205",
            "telephone_number": "352-314-8805",
            "fax_number": "407-650-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREEKRISENJEE",
        "first_name": "JUSTIN",
        "middle_name": "AMIR",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.