Stacy A O'Brien, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1882 Issued in FL

Practice address

1185 Dunlawton Ave
Suite 103
Port Orange, FL 32127-2905

Phone

(386) 756-8225

Fax

(386) 767-0742

NPI assigned

Oct 10, 2014

Last updated

Oct 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elevate Audiology LLC

  • Audiologist
  • Easley, SC
  • NPI 1578065165
  NPD Authorized official
• Stacy O'Brien Audiology

  • Audiologist
  • Port Orange, FL
  • NPI 1093105280
  Authorized official Same address or phone
• Deborah R. Zarajczyk, Ma and Associates, PA

  dba Zarajczyk & Associates, PA

  • Audiologist-Hearing Aid Fitter
  • Ormond Beach, FL
  • NPI 1962583690
  NPD (past)
• Florida ENT Associates, Inc.

  dba South Florida ENT Associates, Inc.

  • Otolaryngology Physician
  • West Miami, FL
  • NPI 1184625733
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1730583360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 DUNLAWTON AVE",
            "address_2": "SUITE 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272905",
            "telephone_number": "386-756-8225",
            "fax_number": "386-767-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 DUNLAWTON AVE",
            "address_2": "SUITE 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272905",
            "telephone_number": "386-756-8225",
            "fax_number": "386-767-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "STACY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Norris, DPT
• Northeast Florida Psychiatric Association, Inc
• Novopharm of Tampa LLC
• Dawnelle Noyes
• Jessica Nusbaum
• Steven Christopher James O'Keefe, PHARMACIST
• Pamela O'Neill
• Lacee O'Shea, BCBA
• Jenna Rose Obeng, DMD
• Ocean Park Wellness LLC

• Audiologist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.