Individual provider Active NPI

Julie Nicole Wiley, AU.D.

  • Audiologist
  • Tarpon Springs, FL
National Provider Identifier
1790988731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY923 Issued in FL
Practice address
3007 Ridgeline Blvd Ste a
Tarpon Springs, FL 34688-9103
Phone
(727) 942-4005
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY923 FL Primary

Addresses

Primary practice location

3007 Ridgeline Blvd Ste a
Tarpon Springs, FL 34688-9103

Mailing address

PO Box 152198
Tampa, FL 33684-2198
Phone (813) 293-2384

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY923FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Pete ENT LLC PastSince Jul 1, 2006 Accepting new patients
Trina E Espinola MD PA Past Accepting new patients
St Petersburg Ear Nose & Throat Ctr LLC Past Accepting new patients
Gulfcoast Ear Nose & Throat Associates PA PastSince Oct 3, 2007 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790988731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152198",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336842198",
            "telephone_number": "813-293-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 RIDGELINE BLVD STE A",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346889103",
            "telephone_number": "727-942-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JULIE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.