Individual provider Active NPI

Cathy Bernice McDermott, H.A.S.

  • Hearing Instrument Specialist
  • Ormond Beach, FL
National Provider Identifier
1770850802
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS4189 Issued in FL
Practice address
725 W Granada Blvd Ste 46
Ormond Beach, FL 32174-9406
Phone
(386) 672-2810
Fax
(386) 673-1622
NPI assigned
Nov 17, 2011
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AS4189 FL
Hearing Instrument Specialist 237700000X AS4189 FL Primary

Addresses

Primary practice location

725 W Granada Blvd Ste 46
Ormond Beach, FL 32174-9406

Mailing address

215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380

Other practice location 1

1702 N Woodland Blvd Ste 102
Deland, FL 32720-1839
Phone (386) 734-4141

Other practice location 2

1958 State Road 44
New Smyrna Beach, FL 32168-8347
Phone (386) 423-9099

Other practice location 3

790 Dunlawton Ave Ste B
Port Orange, FL 32127-4222
Phone (386) 761-5780

Other practice location 4

1000 Palm Coast Pkwy SW Ste 109
Palm Coast, FL 32137-4747
Phone (386) 447-3530

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
AS4189FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear for You Mobile Audiology Hearing Instrument Specialist Current Accepting new patients
Realear, Inc Hearing Instrument Specialist Past Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients
Connect Hearing Inc Hearing Instrument Specialist PastSince Aug 31, 2016 Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients
Realear, Inc. Past Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 7

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1770850802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638123",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD STE 46",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749406",
            "telephone_number": "386-672-2810",
            "fax_number": "386-673-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 N Woodland Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327201839",
            "country_code": "US",
            "telephone_number": "386-734-4141",
            "fax_number": "386-734-4150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1958 State Road 44",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321688347",
            "country_code": "US",
            "telephone_number": "386-423-9099",
            "fax_number": "386-423-8265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Dunlawton Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274222",
            "country_code": "US",
            "telephone_number": "386-761-5780",
            "fax_number": "386-761-5784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Palm Coast Pkwy SW Ste 109",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321374747",
            "country_code": "US",
            "telephone_number": "386-447-3530",
            "fax_number": "386-447-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "CATHY",
        "middle_name": "BERNICE",
        "credential": "H.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "AS4189",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.