Individual provider Active NPI

Kimberly Claire Borrelli, HAS

  • Hearing Instrument Specialist
  • Tampa, FL
National Provider Identifier
1720676703
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5800 Issued in FL
Practice address
6906 W Linebaugh Ave Ste 101
Tampa, FL 33625-5830
Phone
(813) 962-1888
Fax
(813) 369-5337
NPI assigned
Jan 6, 2021
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 AS5800 FL Primary

Addresses

Primary practice location

6906 W Linebaugh Ave Ste 101
Tampa, FL 33625-5830

Mailing address

12028 Citrus Falls Cir Apt 208
Tampa, FL 33625-5725
Phone (803) 645-7072

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

LicenseStateTypeSpecialty
AS5800FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hearing Group LLC Hearing Instrument Specialist CurrentSince Mar 11, 2025 Accepting new patients
Audiology and Hearing Center of Tampa LLC CurrentSince Mar 11, 2025 Accepting new patients
Lifetime Hearing Services Inc PastSince Jan 1, 2021 Accepting new patients

Locations

6906 W Linebaugh Ave
Ste 101
Tampa, FL 33625
Phone (813) 962-1888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1720676703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12028 CITRUS FALLS CIR APT 208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255725",
            "telephone_number": "803-645-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 W LINEBAUGH AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255830",
            "telephone_number": "813-962-1888",
            "fax_number": "813-369-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLI",
        "first_name": "KIMBERLY",
        "middle_name": "CLAIRE",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.