NPIMap

Organization Active NPI

Hometown Hearing Care, Inc

  • Assistive Technology Practitioner Audiologist
  • Marianna, FL
National Provider Identifier
1801374012
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
AY370 Issued in FL
Legal business name
HOMETOWN HEARING CARE, INC
Practice address
4297 3Rd Ave
Marianna, FL 32446-2136
Phone
(850) 372-4468
Fax
(850) 394-4120
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Larry O Otwell X, AU.D., CCC-ANPI 1417941329
Title
Owner/Audiologist
Phone
(850) 372-4468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231HA2400X AY370 FL Primary

Addresses

Primary practice location

4297 3Rd Ave
Marianna, FL 32446-2136

Mailing address

4297 3Rd Ave
Marianna, FL 32446-2136
Phone (850) 372-4468

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1801374012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4297 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462136",
            "telephone_number": "850-372-4468",
            "fax_number": "850-394-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4297 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462136",
            "telephone_number": "850-372-4468",
            "fax_number": "850-394-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEARING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "OTWELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "850-372-4468",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "AU.D., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "FL",
            "license": "AY370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.