Active NPI
Crystal Marie Sammarco
- Hearing Instrument Specialist
- Port Charlotte, FL
National Provider Identifier
1699534610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AST1300
- Practice address
- 1900 Tamiami TRL Unit 109
Port Charlotte, FL 33948-2174 - Phone
- (941) 743-5211
- NPI assigned
- Mar 14, 2024
- 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 | AST1300 | FL | Primary |
Addresses
Primary practice location
1900 Tamiami TRL Unit 109
Port Charlotte, FL 33948-2174
Mailing address
850 Jarvis St
Port Charlotte, FL 33948-3506
Phone (941) 628-9471
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 |
|---|---|---|---|
| AST1300 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients | |
| Lifestyle Hearing Corporation USA Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| Hearusa Inc | Past | Accepting new patients |
Locations
4600 Summerlin Rd
Ste C6
Fort Myers, FL 33919
Phone (239) 703-7546
1900 Tamiami Trl
Unit 109
Port Charlotte, FL 33948
Phone (941) 743-5211
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Audiologist-Hearing Aid Fitter
- Port Charlotte, FL
- NPI 1184889776
-
- Audiologist-Hearing Aid Fitter
- Palm Beach Gardens, FL
- NPI 1316338346
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1699534610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 JARVIS ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339483506",
"telephone_number": "941-628-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 TAMIAMI TRL UNIT 109",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339482174",
"telephone_number": "941-743-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMARCO",
"first_name": "CRYSTAL",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AST1300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.