Individual provider Active NPI

Carol Maniaci Johnson, AU.D., CCC-A

  • Audiologist
  • Altamonte Springs, FL
National Provider Identifier
1740575521
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1043 Issued in FL
Practice address
711 E Altamonte Dr
Suite 200
Altamonte Springs, FL 32701-4806
Phone
(407) 303-5466
Fax
(407) 303-5467
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1043 FL Primary

Addresses

Primary practice location

711 E Altamonte Dr
Suite 200
Altamonte Springs, FL 32701-4806

Mailing address

711 E Altamonte Dr
Suite 200
Altamonte Springs, FL 32701-4806
Phone (407) 303-5466

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
AY1043FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1740575521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E ALTAMONTE DR",
            "address_2": "SUITE 200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014806",
            "telephone_number": "407-303-5466",
            "fax_number": "407-303-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ALTAMONTE DR",
            "address_2": "SUITE 200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014806",
            "telephone_number": "407-303-5466",
            "fax_number": "407-303-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "MANIACI",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.